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PMBI MTB Guide Course - Ride Guide 2017-9-30 to 10-01 - Send bílegging
NORTHSTAR Co.
»
PMBI MTB Guide Course - Ride Guide 2017-9-30 to 10-01
» Send bílegging
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Upplýsingar um bílegging
Dato
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Tal av vaksnum
*
1
2
3
4
5
6
7
Eftirnavn
*
Phonetic Last Name
If you know your name in Katakana please write it here. If not please skip this.
Fornavn
*
Phonetic First Name
If you know your name in Katakana please write it here. If not please skip this.
Postnummar
*
Statur/landspartur
Bygd/býur
Bústaður
Phone Number
Teldupostur
*
Skriva tín teldupost bústað umaftur
*
NORTHSTAR Mountain Bike Riding Levels
R0
• Beginner Cyclist
R0
• Beginner Mountain Biker. Ride a road bike on a regular basis and have ridden a mountain bike before but not off road.
R1
• Have been trail riding for about a year.
• Ride my mountain bike once every 2 months.
• Can ride a 1m wide moderately steep trail/gravel road conformably.
R2
• Have been trail riding for less than 3 years.
• Ride my mountain bike 1-2 times a month.
• Can ride single track trail (about 50cm wide) with less than 30cm drops.
R3
• Have been trail riding for over 3 years.
• Ride my mountain bike once a week.
• Can confidently ride single track trail (about 50cm wide) with less than 30cm drops.
R4
• Have been trail riding for over 4 years.
• Ride my mountain bike more than once a week.
• Can confidently ride single track trail (about 50cm wide) with 30-100cm drops/gaps.
Participant Details - 1. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 2. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 3. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 4. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 5. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 6. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 7. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 8. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 9. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 10. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 11. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 12. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 13. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 14. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 15. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Participant Details - 16. persónur
Please fill in the details for each participant below.
Navn á luttakara
*
Participant Birthday ( yyyymmdd)
*
Participant Riding Level
*
---
R3
R4
Any Allergy and Anamnesis
Please describe your allergy and anamnesis
Emergency Contact ( Name and Phone Number)
*
Aðrir upplýsingar
Do you or anyone in your group have any special dietary needs?
*
No
Yes
Please explain
Please let us know any important details about your dietary need and how we might better serve you during your stay.
Would you prefer a vegetarian meal? (¥500+Tax)
No
Yes
Viðmerkingar
Skriva aðrar viðmerkingar her.
*
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