ࡱ> 5bjbjWW>55 33333GGGGdGel($E3"3333 850ew w w 3ew + :KARTA ZGAOSZENIOWA  STARTOWA :: 26 kwietnia 2014 6. pieszo-kajakowego rajdu na orientacj japoDska  Wiosenna NawaBnica Imi i nazwisko: ................................ Data urodzenia: ................................ PeBny adres zameldowania/zamieszkania (miasto, kod pocztowy, ulica): .......................................... .......................................................................................................................................................... Telefon komrkowy: ................................ E-mail: ................................ WYBIERAM TRAS: - piesz krtk (ok. 20 km) * - piesz podstawow (ok. 40 km) * - kajakowo-piesz (ok. 7 km kajakiem i ok. 25 km pieszo) * BD STARTOWA W RAJDZIE: - sam (-a) * - w zespole z ........................................................................................... (zespB do 4 osb) * WYBR NOCLEGU NA BAZIE/MECIE RAJDU  dopBata do  wpisowego : 0 zB  w sali wieloosobowej na podBodze (dla osb spoza gminy Kalisz Pomorski) * 0 zB  w namiocie (wBasnym) na polu * 40-50 zB/os  w pokoju na B|ku (z po[ciel, rcznikiem, Bazienk)  pokoje 2- i 3-osobowe * - bez noclegu * Uwaga  ilo[ miejsc noclegowych ograniczona (z wyBczeniem namiotw). Decyduje kolejno[ zgBoszeD. * = niepotrzebne skre[li (wykasowa) Wyra|am zgod na start w Rajdzie 6 japoDska  Wiosenna NawaBnica 2014. O[wiadczam, i| zapoznaBem si z Regulaminem Rajdu i zobowizuj si do jego przestrzegania. 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W rajdzie startuj na wBasn odpowiedzialno[. Na udziaB w rajdzie pozwala mi mj stan zdrowia. Wyra|am zgod na wykorzystanie i przetwarzanie swoich danych osobowych przez organizatorw rajdu, do celw zwizanych z przygotowaniem i przeprowadzeniem rajdu. (zgodnie z Ustaw z dn. 29.08.1997 r. o Ochronie Danych Osobowych, Dz. Ust. Nr 133). Wyra|am zgod na otrzymywanie informacji zwizanych z przygotowaniem i przeprowadzeniem rajdu, drog elektroniczn lub poczt tradycyjn, zgodnie z ustaw z dnia 18.07.2002 r. (Dz. U. z 2002r. Nr 144, poz.1204). Data: ..................................... Podpis: .......................................... = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = WypeBnion Kart ZgBoszeniow nale|y przesBa (najpzniej do dn. 21 kwietnia 2014): - na adres e-mail:  HYPERLINK "mailto:info@arsobatravel.pl" info@arsobatravel.pl lub - poczt tradycyjn na adres: Arsoba Travel, ul. Ksicia BogusBawa X 8 / 8, 70-440 Szczecin. Mo|na tak|e zgBasza uczestnictwo telefonicznie: Kasia Tomczyk tel. kom. 500607 789 Wszelkie informacje znajduj si na stronach serwisu  HYPERLINK "http://www.arsobatravel.pl" www.arsobatravel.pl Uwaga: Podpis na Karcie ZgBoszeniowej  Startowej Uczestnik zBo|y dopiero na starcie rajdu. `/b/n//V011v111111111112ٷweTB4h+{CJOJQJ^JaJ#jh+{CJOJQJU^JaJ hOh&CJOJQJ^JaJ#hOh&5CJOJQJ^JaJhOh_Q5OJQJ^Jh+{5OJQJ^JhOhO5OJQJ^JhOh&5OJQJ^Jhgu5OJQJ^JhOh&OJQJ^J)hOh&B*OJQJ^JmH phsH !hOh&B*OJQJ^Jph)hOhtVB*OJQJ^JmH phsH 262:2<2d2f2p2r2t2x2|2222223 333$3*3:33ϼϫm\K\KK\K\K hOhBCJOJQJ^JaJ hOh_QCJOJQJ^JaJ#hOh&5CJOJQJ^JaJ hOh&CJOJQJ^JaJ4jhOh) CJOJQJU^JaJmHnHu hOh4UCJOJQJ^JaJ$h-$h+{0JCJOJQJ^JaJ#jh+{CJOJQJU^JaJh+{CJOJQJ^JaJ h+{h+{CJOJQJ^JaJ33333404@4F4X4Z4444444445ʹʨʓoeXD2#h+{h&6CJOJQJ^JaJ&h+{h&56CJOJQJ^JaJhOh+{OJQJ^Jh&OJQJ^J$hOh5$ 0JCJOJQJ^JaJ hOh5$ CJOJQJ^JaJ)jhOh5$ CJOJQJU^JaJ hOhCJOJQJ^JaJ hOh_QCJOJQJ^JaJ hOh&CJOJQJ^JaJ#hguhH5CJOJQJ^JaJ#hguh+{5CJOJQJ^JaJ;0P:p/ =!"7#$% DpF@ { A}`QwJFIF,,(;ExifMM*bj(1r2i,,Adobe Photoshop CS Windows2009:03:13 14:38:57&(.'HHJFIFHH Adobe_CMAdobed            " ?   3!1AQa"q2B#$Rb34rC%Scs5&DTdE£t6UeuF'Vfv7GWgw5!1AQaq"2B#R3$brCScs4%&5DTdEU6teuFVfv'7GWgw ?TI%)$IJIgu^E{.(g2"ʿ)׆cKj |;CUn7ʭ F}3``~nEX<^Ows}Cb|fKYe{n~#Vu wWUoّs9պou=Kv6c\Zױi<;0||$LiIYi?ԡUot*$%q!{Wϙ{ƿSqhsu{Olb`67C$0E4ۙ ^Z\EG{8?YVm>nskI,cGYv#(˲ū][״ /{鵷Us cM~;٬/ݹĀZ a)!/}%?X*c5kV==]bۓO-s\H#PAbbh+HI$JTI%)r[LR s*ko{5Gz~rgF뙭#w9UF"Xoq{wI&6:YJ]6&H-}cƴyi}&ӹAYG>s?c1 le/ȮC,hz;Y^zu}sv8}CV˝YװYU _m,koOVzDt_I`U=>n}/m־ݣ'DEh F шN_oHܖPnk6?+wh}=Q7#mh.vϴW+}+Iz/1o>-v;]sGӪsw{=WN>L>ɉSlx%\;s-ɪ܍G c XI䖵?UzU3'&œ+;m*SկU/?7?lreͯry䖾_8{}~{ph 5edSv-ǰs[QHN"$A*i-s^Z9>~kxnWgOikf}L gwHI$$lx1R^8YWA&װ wsQ׍ODLln!ItsXC21#7zr}{%5 X! 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