register riders
register support
packages
   
   
   
   
   
   
 
online registration riders
for all support persons please use the button ... register support
open from 1st of December 2012 till 20th of August 2013
Last name

Registration is only valid after deposit of 50 % or full payment!
Cancellation charges
25% of the entry fee by cancellation
before 15. Aug.
50% between 15. Aug. and , 15. Sep.
75% between 16. Sep. and 30. Sep.
100% after the 1. Oct.
Organisation:
World Wide Sport Agency,
Gerhard Schönbacher, 12 Satellite Str.,
Clifton Beach QLD 4879, Australia
Payment:
After receiving your filled out and signed registrationform we will send you the invoice.
Last date of entry:
20th of August 2013!
Late entry after 20th of Aug. plus 5 %

 
First name  
Street
  
Post Code
  
City
  
Country  
Nationality  
Phone
  
Fax
  
Date of birth  
E-Mail
  
Team (name of my
team or sponsor) 		 
     
INDIVIDUAL CLASSIFICATION
Female Elite 1994-1984   Tandem
Master I: 1983-1974 Master II: 1973-1964 Master III: 1963-1940 Journalist
       
 
TEAM CLASSIFICATION together with individual classification
One team includes 3 riders under the condition that each rider wears the same cycling jersey and short. Each team member has to register himselve separately!! Each team rider starts in the individual classification as well. It is not necassary to rider together!
 YES, I start in the team classification together with my two team members:
   
Team member 1
(2nd rider in my team)
Team member 2
(3rd rider in my team)
Name of my team:
   
       
       
CROCO ADVENTURE (Team of TWO) - Please register also your Team Member!
     
  Name from my
team member:
   
  Please register also your Team Member!
  ... more information
   
CROCO TEAM RELAY for 3 riders - Please register also the two other riders!
   
  Name from my
TEAM RELAY:
   
  Name of the second
TEAM RELAY rider
   
  Name of the third
TEAM RELAY rider
   
   
  Please register also the two other riders of your TEAM RELAY
  ... more information
   
 
Jersey size
S M L XL
 
Sex
Female Male
 

How did you hear about us?
coverage on Television
coverage in cycling magazins
coverage in daily newspapers
coverage online
newsletter
friends
others
       
       
  Entry fees participants    
  Participant
Individual		   Euro 1.780,- AUD  2,580.-
 

Team Classification
(3 riders)

   Euro 4.980,- AUD  7,220.-
       
  Croco Adventure
(Team of TWO)		   Euro 3.560,- AUD  5,162.-
       
  Tandem
(two riders one bike)		   Euro 3.560,- AUD  5,162.-
       
  Croco TEAM RELAY
with own verhicle		   Euro 4.980,- AUD  7,220.-
  Croco TEAM RELAY
with transport in official vehicle		   Euro 5.780,- AUD  8,380.-
       
       
  Entry fees accompanying person    
  Support person with own vehicle
...more		   Euro 580,-   AUD  840.-
  Support person with transport in official
vehicle from the organisation   		   Euro 980,-   AUD  1,420.-
       
       
  Additional Packages    
       
  Tent Service
tent (2,40 x 2,40 x 2,20)
1 or 2 camping beds, inclusive set up and take down (sleeping bags aren't included), from 20th till 28th of Oct.
advantages: enough place for your luggage, better regeneration in a camping bed, less excess luggage on your flight.
  


SINGLE USE   Euro 380,-    AUD 550,-
       
DOUBLE USE   Euro 440,-    AUD 638,-
  I will share the tent with (Name of the person):  
       
  Discount for early booking & payment*    
       

individual participation

Croco Adventure

Teams
Croco Team Relay

Tandem
 

less Euro 120,-

  AUD 175.-

less Euro 240,-

  AUD 350.-

less Euro 300,-

  AUD 435.-

less Euro 300,-

  AUD 435.-

less Euro 240,-

  AUD 350.-
       
  * by full payment before the 1st of March 2013. Vouchers are not valid for discounts!

       
  Registration will be confirmed officially after full payment. I hereby declare my acceptance of the conditions laid down by the organiser of the 19th Crocodile Trophy 2013. The foregoing is subject to change without prior notification. The organizer reserves the right to make changes to enhance the quality or safety of the race. I realise that the promoters, organizers and sponsors will take absolutely no responsibility for damages and injuries, which the competitor suffers. I explicitly state that I will make no claim whatsoever against those referred to in case of damage or injury. I am familiar with the conditions of participation and valid rules and accept them. In addition I agree to the publication of photos and film of the completion. I certify with my signature that participation is at my own risk and I am sufficiently insured against consequences resulting form accidents. The registration is valid and obligatory as soon as the registration form is transferred to the organizers completely filled and signed. I declare expressly that I have read and accepted the directions, regulations and conditions.