register riders
register support
packages
   
   
   
   
   
   
 
online registration riders
for all support persons please use the button ... register support
open from 15th of November 2011 till 1st of August 2012
Last name

Registration is only valid after deposit of 50 % or full payment!
Cancellation charges
25% of the entry fee by cancellation
before 15. Aug.
50% between 15. Aug. and , 15. Sep.
75% between 16. Sep. and 30. Sep.
100% after the 1. Oct.
Organisation:
World Wide Sport Agency,
Gerhard Schönbacher, 12 Satellite Str.,
Clifton Beach QLD 4879, Australia
Payment:
After receiving your filled out and signed registrationform we will send you the invoice.
Last date of entry:
1st of August 2012!
Late entry after 1st of Aug. plus 5 %

 
First name  
Street
  
Post Code
  
City
  
Country  
Nationality  
Phone
  
Fax
  
Date of birth  
E-Mail
  
Team (name of my
team or sponsor) 		 
     
I start in following category
Female Elite 1993-1983 Electro-Bike Tandem
Master I: 1982-1973 Master II: 1972-1963 Master III: 1962-1940  
       
       
NEW - CROCO ADVENTURE (Team of TWO) - Please register also your Team Member!
     
  Name from my
team member:
  Please register also your Team Member!
 
T-shirt size
S M L XL
 
Sex
Female Male
 
       
Team Classification
One team includes 3 riders under the condition that each rider wears the same cycling jersey and short. Each team member has to register himselve separately!! Each team rider starts in the individual classification as well.
 YES, I start in the team classification together with my two team members:    
Team member 1
(2nd rider in my team)		    
Team member 2
(3rd rider in my team) 		   
Name of my team:    
       
  Entry fees    
  Participant Individual   Euro 1.650,- AUD  2.580,-
 

Team (3 riders)

   Euro 4.530,-   AUD  7.080,-
  Croco Adventur (Team of TWO)   Euro 3.300,-   AUD  5.150,-
  Tandem   Euro 3.300,-   AUD  5.150,-
       
  Support person with own vehicle
...more		   Euro 580,-   AUD  900,-
  Support person with transport in official vehicle from the organisation      Euro 980,-   AUD  1.510,-
       
  Additional Packages    
       
Tent Service
tent (2,40 x 2,40 x 2,20)
2 camping beds, inclusive set up and take down
advantages: enough place for your luggage, better regeneration in a camping bed, less excess luggage on your flight, (sleeping bag isn't included)
from 18th till 27th of Oct. (single or double use) 		 

Euro 440,-    AUD 690,-

       
       
  Payment Possibilities    
   
10% discount by full payment before the 15th of January 2011 only for riders (individual and team registrations). Vouchers are not valid for discounts!

       
  Registration will be confirmed officially after full payment. I hereby declare my acceptance of the conditions laid down by the organiser of the 18th Crocodile Trophy 12. The foregoing is subject to change without prior notification. The organizer reserves the right to make changes to enhance the quality or safety of the race. I realise that the promoters, organizers and sponsors will take absolutely no responsibility for damages and injuries, which the competitor suffers. I explicitly state that I will make no claim whatsoever against those referred to in case of damage or injury. I am familiar with the conditions of participation and valid rules and accept them. In addition I agree to the publication of photos and film of the completion. I certify with my signature that participation is at my own risk and I am sufficiently insured against consequences resulting form accidents. The registration is valid and obligatory as soon as the registration form is transferred to the organizers completely filled and signed. I declare expressly that I have read and accepted the directions, regulations and conditions.