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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.
NATIONALITY
DATE OF BIRTHDAY
ADRESS
TELEPHON Nº OCCUPATION
E- MAIL
SELECTED DAYS FOR THE CROSS
Documents needed: COPY OF PASSPORT, MEDICAL CERTIFICATE
AND CURRICULO
CATEGORY
TYPE
Costs:
please select the costs list in according with your preferences
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
or after
the cross and I attach my Medical Certificate.
Sign.........................................................
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