Gender*: Male Female   Date of birth*:

Name and Surname*:

Address*:    Postal Code*:

City*:    Country*: 

Passport Number*:    Telephone number/s:

e-Mail:   

Federated Naturist: Yes No    Name of Naturist club and member number:

Are you a regular nudist: Yes No

Sport: Yes No    What sport do you practice?:

I request to be informed about further editions of the Race:

I accept and acknowledge the “Naturist Sopelana Race” (Patxi Ros 1998 Trophy) rules*:

ATTENTION: Private information is put on this form. If you wish to know the way your information is used please check our “Privacy Policy”. All fields marked with an (*) must be filled in, except for children under 16 years old.