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Registration Form

The registration period to DALE UN GOLPE AL E.L.A. 2025 will end on Friday, June 20, 2025 11:00h. or until filling the available places

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Organisation Indications

DALE UN GOLPE AL E.L.A.

Con la intención de recaudar fondos para la investigación de esta enfermedad y sobré todo de darle visibilidad nace este evento, que contará con la participación solidaria y altruista de:

Iván Leal seleccionador nacional, campeón del mundo
Oscar Vázquez campeón del mundo y
Lino Gómez exseleccionador nacional campeón del mundo, un cartel de lujo a la altura de la causa.

DIA: 21 de Junio.

LUGAR: Polideportivo municipal de Grado. En horario de 18 - 20 h

La recaudación será donada integrarme a la asociación E.L.A. Principado de Asturias.

Select an option

Registration 20.00€

Exclusiva para cinturones verde en KARATE o superiores.

Fila 0

Selecciona esta opción si quieres colaborar con la causa.

Team name

Team name:

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Registration data

First Name:

Last Name:

Citizenship:

Identity document:

Birth place:

Gender:

Date of Birth:

Category:

Country of Residence:

Location:

Postal Code:

Province of Residence:

City of residence:

Address of Residence:

Email:

Repeat Email:

Fixed phone:

Mobile phone:

Federated:

License Number:

Runner PLUS Card:

Medical Certificate:

Medical Certificate Validation Time:

Club:

Comments:

Cancellation Insurance:

You never know when an unfortunate illness, an injury during training, or any other major unforeseen event might prevent you from participating in the event.

We offer you the option to purchase cancellation insurance that allows you to recover the registration fee if necessary.

The price of the cancellation insurance calculated for your registration is . Attention: this insurance covers contingencies related to injuries, serious illnesses and personal circumstances such as job changes, medical tests or death of family members, among many others. But not all causes are covered..

Please, check the conditions before contracting it. You can see them here

I accept the registration conditions

Administration fee:

Current Registration Price:

Payment summary:

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(Administration fee included)

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