Registration Form – BaltiCCycle 2024

    6th Olympic Expedition

    from Tokyo to Paris (islands route)
    23.02–14.04 & 6.05–27.07.2024

    Personal data

    Given names and surname

    Citizenship

    Personal code (if existing)

    Date of birth

    Place of birth

    Passport data

    Passport No

    Date of issue

    Date of expiry

    Issued by

    Contact data

    Street address

    City

    Postal code

    Country

    Telephone

    E-mail

    Telephone of person we can contact in case of emergency

    Chosen parts of the route / membership fee*

    Chose section of the route you plan to take part and type the number of participation days; the registration fee will be estimated automatically.

    Membership fee:
    30 €/day for 1–30 days
    27 €/day for 31–60 days
    23 €/day for 61–135 days

    Taiwan
    23.02–14.03, 21 days
    days

    Japan
    15.03–05.05, 31 days
    days

    Réunion & Madagascar
    06.05–20.06, 46 days
    days

    Corsica & Continental France
    21.06–27.07, 37 days
    days

    TOTAL: days


    REGISTRATION FEE:
    * If the registration and the half of participation fee are not received before December 23, 2023, the membership fee increases by 10%. On the occasion of Christmas, this period shall be extended to: for Taiwan and Japan, until 31 December 2023, for Réunion and Madagascar, until 15 March 2024, for Corsica and mainland France, until 1 April 2024. If the second part of the fee is not paid 10 days before your start, the membership fee increases by 10%.

     

    Please enter the exact dates when you start and finish the ride.

    If you plan to join several times enter the dates for every part of the route.

    Date of start 1

    Date of finish 1

    Date of start 2

    Date of finish 2

    I would like to receive a discount*:

    Just one of displayed below.

    15% – for first 60 days of your participation only for students (until 26 years old), families (3 and more persons traveling together) and BC veterans who cycled more than 100 days in the previous BC tours.**

    a privilege discount – negotiated personally for participants who obtain potential sponsors or support organizers before or during expedition in another way (preparing day descriptions, finding sleeping places, servicing bicycles, medical support, etc.).

    Data for discount (describe):

    * Discounts are applicable if the registration and the half of participation fee are received not later than before December 23, 2023. On the occasion of Christmas, this period shall be extended to: for Taiwan and Japan, until 31 December 2023, for Réunion and Madagascar, until 15 March 2024, for Corsica and mainland France, until 1 April 2024.
    ** If a cyclist reaches 100 BC days during the ride, the discount is counted from the next day.

    FEE WITH DISCOUNT:

    Additional fees

    OPTIONAL:
    1 I would like to use the transportation service for my additional piece of luggage – 2 €/day
    No more than 15 kg, 25 kg luggage is included in the registration fee.

    1 I will cycle 20 days or less but I would like to purchase BC2024 T-shirts – 20 €/unit
    T-shirt for participants who register for more than 20 days – free of charge.

    1 I will cycle more than 20 days but I would like to purchase additional BC2024 T-shirts – 20 €/unit
    One you get free of charge.

    Please enter the size of T-shirt:

    SMLXLXXL

    REQUIRED:
    Emergency Fund (liczba dni x 2 €):
    Unspent money from the Emergency Fund will be returned in 30 days after the ride in proportion of the amount of your contribution.

    FULL PAYMENT:

    Your comments:

    I am familiar with the "Conditions of Participation" of the ride and agree with "Rules and Treaty for Participation and Responsibility".

    In 5 days after the successful registration you will receive email confirmation with total amount of registration fee which must be paid to:

    CROTOS Travellers’ Association
    6-57, Sobieskiego St.
    02-957 Warsaw
    Poland

    ING Bank Śląski
    The Corporation Branch II
    45, Malczewskiego St.
    02-622 Warsaw
    Poland
    PL31105010121000009083144163
    nr BIC (SWIFT): INGBPLPW

    ALL BANK REMITTANCE CHARGES MUST BE PAID BY PARTICIPANT.

    I confirm that the information provided is correct.

    I hereby agree to the processing of my personal data for the registration purposes in accordance to the Personal Data Protection Act from May 10, 2018 (with amendments).