FORM PATAGONIA DEC 2022

Name*

First Last

E-Mail*

Phone

Birth Date*

Nationality*

Country of residence

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Passport number*

Passport expiry date

Emergency telephone number

Size of cycling jersey

Other comments (dietary restrictions, allergies, medical problems)

Waiver of Liability*

I agree to Waiver of Liability.

- I declare to know the program of travel and accept it.
- I declare that I have made a satisfying workout in order to participate the PATAGONIA BIKEPACKING, to be in very good physically and psychologically conditions,which allows me to participate in the above test cycle, and not suffer any illness or injury.
- I declare to be voluntarily present and accept the risk and situations of psycho-physical discomfort, any kind of accident with mechanical vehicle or not, accidents with animals and / or persons and any other situation could occur, declining so any liability of PROJECT ADVENTURE CYCLING.
- I declare to know the intensity of the PATAGONIA BIKEPACKING and the high risk that the practice of mountain biking involves and that it will respect all the indication that the organization will give with the intent to protect my and others' safety.
- I will correctly use the helmet during the entire stages in mountain bike.
- I understand that the Organization may change the dates, mileage and the program if it considers necessary to protect the safety of all participants.
With this declaration I confirm that I voluntarily and freely subjected myself to the video-cameras shootings made by PROJECT ADVENTURE CYCLING during the PATAGONIA BIKEPACKING
I allow the use of my image with the times and the way that PROJECT ADVENTURE CYCLING deems appropriate.

Consent*

I agree to the privacy policy.

PA-Cycling, collects personal data and information about you through its events, web pages, applications, promotional campaigns, loyalty programs and other services. PA-Cycling believes that the protection of Personal Data is of paramount importance.

PA-Cyclism is the legal controller of all Personal Data obtained through the above channels and processes. The website operated by PA-Cycling is: www.pa-cycling.cc.

It is very important to us that our service is transparent, personal and reliable. In this context, we believe it is important that you know exactly what Personal Data is collected by PA-Cycling and for what purposes we use this Personal Data. This privacy policy describes this clearly and precisely. However, PA-Cycling ensures that Personal Data is collected, used and deleted carefully and in accordance with applicable legislation and regulations.

This Privacy Policy may change from time to time due to new regulations. You will always find the latest PA-Cycling Privacy Policy at www.pa-cycling.cc.
If the Privacy Policy has been changed, PA-Cyclism will notify you via its website or email.

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PATAGONIA BIKEPACKING DEC 02-18 2022

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