Weekend RetroRonde - Ticket
Each ticket must be configured by name. We provide accident insurance, meaning we have to register each person individually. For example, for a family consisting of two adults and two children four separate tickets must be created. The basic data needn’t be given but once.
Indicate per day and activity in which you want to participate. Please fill in all fields as accurately and completely as possible, it’ll allow us to keep you up to date correctly.
Fields with * are required fields.
| First name participant *: First name |
| Name participant: Name |
| Adress *: Street, number |
| Residence *: Postcode [insert] Municipality |
| Country *: Country |
| Nationality *: Nationality |
| Date of birth *: 01/01/1911 |
| E-mail *: naam@provider.be |
| Mobile phone number *: +32123456789 |
| To alert in case of emergency *: +32123456789 |
| Optional information about your bike: Briefly describe the bike you are participating with. |