Time and Voice

Registration Form

Personal Data

* First name

* Last name

* Date of birth

* Gender

malefemale

* Nation

Contact Data

* Email address

Address

ZIP code / City

Country

Payment Data (SEPA Direct Debit)

* Account holder

* IBAN

* BIC

I hereby authorise Time and Voice to send instructions to my bank to charge my account with the entry fees resulting from this registration. At the same time, I authorise my bank to debit my account according to this instruction.
Entry fees will usually be collected a few days prior to the event.

Entry Data

* Licence

Hobbyist / Rider without licenceLicensee / Rider with UCI licence

UCI id

Team

Club

* Race

Mylaps Transponder Code

If you don't have your own Mylaps transponder, leave this field blank. You can get a transponder on race day.

* Terms & Conditions

I accept the Terms and Conditions of the event organizer:
Every participant is responsible for their acts and the consequences at any time.
The event organizer refuses any liability for possible damage or accidents caused by the participant or by third parties.
The participant assures that they are adequately insured against possible health damages.

Zwiep Scott Cup 2023

Registration Form