REGISTRATION CAN BE CARRIED OUT BETWEEN 01/09/2016 AND 13/11/2016 BY:

 

  1. Email

Email ALL your details to sport@depanne.be and make a deposite of €20 to the account BE69 0961 3075 2078 (BIC GKCCBEBB) in the name of GEMEENTEBESTUUR DE PANNE stating your name and date of birth.

 

Kids deposit €5, stating name and date of birth.

 

Details:

Name:

Adress:

Postcode:

Municipality:

Country:

Nationality:

Gender: M/F

Date of birth:

If race permit: number + federation + scan of the permit

Emailadres:

Mobile number:

Mention KIDS PARTICIPATION if you are participating in the KIDS beach race.

 

  1. Post

Send a FULLY COMPLETED registration form to:

Dienst Sport De Panne

Sportlaan 2

8660 De Panne

and make a deposit of €20 to the account BE69 0961 3075 2078 (BIC GKCCBEBB) in the name of GEMEENTEBESTUUR DE PANNE, stating your name and date of birth.