I want to run : 1 TRAnsomania jan km solo duo x2 trio x3. Registration form. 6 desert Oman raid nov Solo

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1 I want to run : 1 TRAnsomania jan km solo duo x2 trio x3 Solo ( Km. 80/ Km. 145) 200 Km. 130 Km. : 100% dunes Solo All distances are : Self supported 4000 calories 1 Drop Bag (285 Km cal) water and cafe each 20/25 Km. 3 intermediate camps : Km 80 Km 145 Km desert Oman raid nov km in 5 stages Name : Date of birth : Address : First Name: place: Postal code: Town: Country: Nationality: Mobile: Passport Number: Expiry date: Job:: Registration form date of issue: Ind.Men Ind. Women Team Name of team: Name: Address: Phone Person to contact in case of emergency : Security and responsibility I Declare that I have had a medical examination to verify my fitness and hereby enclose a copy of the signed medical certificate.this certificate being valid for six months from the date of the medical examination. In the case of an emergency, I authorize the doctors of the race to make the necessary medical arrangement concerning my well-being. I declare to have taken into consideration any accidents of health that could result as a direct or indirect cause of the race. I understand and comply with the rules imposed by the organisers of the race I accept rules and provisions of the first Raid Sahara Organised by Raid Sahara Organisation. I undersigned the runner, certifies to have answered in a veracious way the questions put in this questionnaire, which will be used as a basis for the contract and not to have omitted anything. Any abandonment during the race, won t be able to give place to any refunding. Write : «Good for Agreement», Signed it: Date:

2 Entry Fee 1 Transomania jan km solo 1790 duo x2 : (1590 x 2) trio x3 : (1590 x 3) relay will be change in official departure camp ( Km. 80/ Km. 145) 200 Solo km Solo Desert oman raid nov km in 5 stages en Solo 1590 Program acompagnant nights in camps and hotel personalized program following the race : 1690 Reproduction Rights I undersigned..., living in... participant in any sporting competition, organized by Raid Sahara Organisation, authorizes and agrees to have his(her) picture(s) taken, to take part in film, interviews and photographs realized at the time of the event, and this for free. I agree irrevocably and I give my authorization so that RSO which produces, distributes, uses this film and the images under this title or another, preserves and/or uses the whole of the reproduction rights, of representation, of communication, and of exploitation concerning my image, my statements and/or my comments, on all supports, representing me, in original version or under subtitled, so that RSO can use, and make the promotion of all or part of these pictures, these images, statements and comments, for cinematographic productions, videos, television, Internet, articles and all other ways known or unknown to be discovered, accompanied or not by the recorded or post synchronized sound, a comment or a dialogue, and this for free, in the whole world, without time limit. I agree irrevocably and I give my authorization so that RSO, has the right to the collective, individual or private image, concerning their participation and with regard to near or by far the events for any use, any support, commercial use or others. Any use, diffusion, publication of the images concerning of near or by far the events will have to be the subject of a preliminary authorization of RSO. Any film during the event will have to be the subject of an approval by RSO and/or the local authorities. I commit myself not filming the official buildings in sedentary or military matter. I agree also irrevocably for authorizing the production to freely give to any person or organization the rights and obligations of this contract in any forms. Sign in: Signature Date: Write : «Good for Agreement»

3 payment Modality of payment: 1st deposit : 700 with the reservation by bank transfer to RSO 2nd and last deposit : 120 days before the beginning of the race by bank transfer to RSO (the expenses of bank transfer are under your charge) Insurances: Repatriation insurance: 55 (valuable 1 year) Cancellation insurance: 120 More Visits and Hostels are not include in the payment, if I m interesting, i have to contact RSO Contact Cyril Fondeville organisation@raidsahara.com +33(0) To be filled in by the runner Name of the runner: : Date of Birth : Others information's : Medical Certificate To be filled in by the doctore filled by the doctor : Medical History: Surgical History: Current Medical Treatment : Blood group : Tension : Peak-Flow : Weight : KG Height : m Index of body mass (P/T ²) : P0 : Pulse before : P1 : pulse after 30 flexions in 45 seconds : P2 : pulse after 1min rest : Indicator of Ruffier/Dickson : (P1-70) +2(P2-P0) = 10 Name of the Doctor : First name : adress : Postal Code : Town: Country : I, the undersigned Dr.. certify that after examination (insert applicants name) is fit to participate in a Endurance Trek in an extremely arid and hot climate. Sign in : Date : Stamp : Doctor s Signature : To be filled in by the runner Any accident that occurs directly or indirectly before, during or after the race will be entirely my own responsibility. I authorize the doctors covering the race to make the necessary decision concerning the state of my health. I understand and comply with the rules imposed by the organisers of the race. I acknowledge that the facts I have furnished are accurate. Sign in : Write : «Good for Agreement»Date : Signature : Runner s without a positive completed certificate will not be allowed to take part in the race

4 Check points map, the way km 0 km 10 km 36 km 60 White Beach Wall point water /fruits Towers water /fruits point Viilage hot /cold point water km 70 Col 2000 Free point km 80 Wadi Bani Khalid km 100 Sayiq water /fruits km 113 Cross Road Free point km 145 Safari Camp departure 8:00 departure J+1 / 8:00 departure J+2 / 8:00 km 175 Wahiba 1 water /fruits km 200 Wahiba 2 hot /cold water km 225 Wahiba 3 water /fruits km 255 Wahiba 4 water /fruits km 285 Arrivo i want to receive the gps file KMZ / GPX

5 Planete Aventure by RSO: after 5000 km of races organized for you by my team RSO, I wanted to let you discover, others challenges all over the world in the 5 continents. I selected 12 adventures with the same spirit! Ask me for more information. RSO it s also : 6 DESERT OMAN RAID nov Adventurer Tracks of Senegal April TransOmania January Grand Trail du Nord (France) oct 2013 Cyril Fondeville organisation@raidsahara.com +33(0) planete aventure by RSO partner races Run the world - beyond the ultimate - Br Peru - BTU - Jungle May 2013 Colorado - BTU- Mountain Aug Grand Trail North France oct 2013 Namibia - BTU - Desert Nov DESERT OMAN RAID nov 2013 BR 135 miles Brazil - Jan 2014 Mount Cameroon 40 km m - Feb 2014 Arctic - BTU - Sweden Feb TransOmania march Adventurer Tracks of Senegal april 2014

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