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THE WILD ESCAPE

full name

address

date of birth

dd-mm-yyyy

e-mail

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phone number

I need a rental bike (from MARIN Bikes)

Yes

cycling experience level

Beginner

Intermediate

Very experienced

emergency contact

dietary restrictions/preferences

questions/concerns/doubts/...?

excitement check?

super stoked!

refund & responsibility agreement

I have read and agreed to the refund policy (on the info sheet)

I understand and accept full responsibility for my participation in the event, including any risks or challenges and confirm that I am fit to participate

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