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APPLICATION
FORM FOR THE GIBRALTAR STRAIT CROSS
Before filling in
this form you must make sure to read all the information contained
in these Regulations
To the attention of the President of The Gibraltar Strait Swimming
Association:
By means of this form I notify
the Gibraltar Strait Swimming Association of my intention to attempt
swimming across the Gibraltar Strait. I also notify my agreement
to following the rules established by the Association and with
the costs specified in the present form as expenses and donation
concepts.
NAME...........................................................................NATIONALITY...............................
ADDRESS..............................................................................................................................
TELEPHONE Nº...........................................................BIRTHDAY.....................................
SEX.................... OCCUPATION..........................................................................................
e-mail:.....................................selected days for the cross..........................................
TRAINER:
(companion people):.........................................................................................................
CATEGORY (one way / round trip)
Please, fill the costs list
according to your preferences:
Boats and pilot costs....................................1200 euros
Documents and certificates
taxes................... 150 euros
For a round trip (additional)
......................... 1300 euros
Medical disponibility
.(compulsory).................... 50 euros
Special training (per
session) ........................ 300 euros
TOTAL ................................
Note:
This is the cost for a single cross if there are more
swimmers the additional cost is 600 euros per swimmer.
I agree to notify my arrival
to the President of the Association in accordance with the fixed
periods as well as not to take any type of forbidden stimulants
or drugs. I agree to facilitate (if is necessary) a urine or blood sample before
the crossing and I attach my Medical Certificate.
Sign..........................................................
Date.........................................................
BIOGRAPHICAL INFORMATION (Note
those other crossings that you have taken part in.
I certify that all the
information is true:
Sign (trainer)..........................................
Date...........................................
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