Application

Rider • Driver

Name • First name • Surname *

Surname • Surname • Name *

Address • Address *

City • City *

Postal Code *

Nationality • Nationality • Nationalität *

Date of birth • Date of birth • Geburstag

FMN (National Federation)

License number • License number • Lizenz Numer

Telephone • Telephone *

E-mail *

Sponsor • Team • Bewerber • Club

Name • Name • Namenung

Motorcycle • Motorcycle • Motorrad

Test pass no. • Fahrzeugpass Nr.

Class • Class • Klasse

letter designation

Favorite starting number • Favourite starting number • Beliebt Startnummer

e.g. A 11

Make and model of motorcycle • Make and model of motorcycle • Marke und Modell des Motorrades

Year of production • Year of product • Baujahr

Volume • Cubic capacity (ccm)

Cooling • Cooled • Kühlung

Air • Air • Luft
Liquid • Water • Wasser

Number of cylinders • Number of cyl. • Zahkl des Zyl.

Engine serial number • Engine serial number

Contact person • Contact person

The person who will be contacted in the event of a serious accident to the rider. • It´sa person you want us to contact if anything happens with you as a rider.

Name • Surname • Name

Telephone • Telephone

Entry closing: 27. 8. 2021

Special wishes • Special wishes • Besondere Wünsche

What you do not fill in here will have to be completed at check-in • What you do not fill in here will have to be completed at check-in

Special provisions 2021

Agreement *

I agree to the rules. • I agree with the rules. • Ich bin mit den Regeln der Höttingen.

General conditions of participation

GDPR *

I agree processing of personal data • I agree to the processing of personal data

Name