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Long distance about 4 km
Short distance 2 km
distance for everyone, 6 – 60 years, 800 m
Name:
Christian name:
Date of birth:
Street/Nr :
Postcode / city:
Phone/Fax E-mail:
(please fill in with block letter, if you send it by your own by fax or post)
You also have the option of registering either via e-mail or through our club homepage: www.usedomer-achterland.de or www.drk-ovp.de. You will receive confirmation of registration via e-mail.
I declare that I’m fit for swimming and healthy enough to swim those distances. I will start on my own risk.
Name: Christian name:
Name and surname of legal guardian / parent:
Date/Signature Signature of parents or responsible person when starter younger than 18 years
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