34e Canal du Midi Rowing Rallye Group Form Club/Group ...................................................................... Person responsible for the group during the rallye Surname :……………………………………………………………………………… First Name : ……………………………………………………… Address :…………………………………………………………………………………………………………………………………………………………… Town : …………………………………………………………………………………………Post or zip code :……………………………………… Country : …………………………………………………………………………………………………………………………………………………………… Téléphone :……………………………………………………………… Mail :……………………………………………………………………………… Individual registration forms must be attached

List of participants

Age

Accommodation (1)

Type (2)

1 2 3 4 5 6 7 8 9 10 11

(1) Full board – Camping

(2) Rower – Follower

Conditions

Your equipment

Rules

Boats

Renting

YES NO

Boats must be in a good shape. All equipments must be checked before the start.

Trolleys

Renting

YES NO

Mandatory for the locks transfers (blue prints available upon request)

Bicycles

Renting

YES NO

Prévoir une corde de + 6 m à l'avant, à l'arrière et une gaffe

Stick a label with your name on the bicycle.

Rentals possible in limited numbers : Bicycle 40 €. Trolley : 39 €. – Boat seat : 66 €.

Club Manager’s signature cetifying that all boats are insured. Place …………………………………

Date ………………………….……....……..

Mr or Mrs …………………………….. Director of ………………………………..

Please prepare your rallye before departure ! (read the Instructions on the website)

ASSOCIATION TOULOUSE PIERRE-PAUL RIQUET

Secrétariat : à Marie-Christine TRIGO 21, rue des Peupliers 31850 MONTRABE Tel : 06 28 30 21 58 ou (André Perrot 06 70 81 33 74)

http:// atppr.free.fr E-mail : [email protected]

or

[email protected] ATPPR – Group registration form 2015