PROSECCO CYCLING SOCIAL!
 

Forms

HEALTH CERTIFICATE FOR CARDIOVASCULAR INTENSIVE
SPORTS ACTIVITY – competitive cycling races/events
(fac-simile)

Both Italian and foreign card-carrying and non card-carrying touring cyclists must send the copy of their medical certificate for competitive sports practice of cycling, pursuant to Art. 4 of Italian Ministerial Decree No. 164/24.04.2013. Everything must be submitted in original format at the moment of the call for withdrawal of the technical envelope and the race package.

DELEGATION FORM FOR THE DELIVERY OF TECHNICAL ENVELOPE AND RACE PACKAGE
(INDIVIDUALS ONLY)

The delegated persons for the collection on behalf of third parties of the technical envelope and/or of the race package must provide proof of identity to be issued in copy and submit the delegation for the collection on behalf of third parties, filled in and signed by the delegating party, as well as the required documentation according to Art. 7, Paragraph 2, points a) and b) of the Regulation.

DELEGATION FORM FOR THE DELIVERY OF TECHNICAL ENVELOPE AND RACE PACKAGE
(TEAMS ONLY)

The President or a delegate may withdraw the technical envelope and/or race package only if providing proof of identity to be issued in copy and submitting the appropriate form, including the summary list (name and surname) of their own members, properly filled in with the stamp of the Society and/or Sporting Association and signature of the referent.

APPLICATION FORM FOR REPLACEMENT WITH OTHER PARTICIPANT

Application form for replacement with other participant, who must be in possession of the medical certificate for competitive sports practice of cycling, pursuant to Art. 4 of Italian Ministerial Decree No. 164/24.04.2013. The replacement of one or more participants is allowed by keeping the possibility to get a personalized race number with name and surname no later than Friday, August 31st, 2018, by paying the amount of € 10,00 for secretary charges.

APPLICATION FORM FOR MISSING PARTICIPATION

In case of proved impossible participation, and exclusively for health reasons, the paid fee will be reimbursed, with justified request of the participant, including the related medical certificate, to be issued according to the provided application form for failed participation and to be sent per email to: info@proseccocycling.it within and not later than 15 days from the date of competition.

ACCIDENT INSURANCE POLICY FOR NON CARD-CARRYING ATHLETES

Both Italian and foreign non card-carrying cyclists who do not belong to any Sporting Society or Association, aged between 18 and 75 years old (included), must pay a surcharge of € 10,00 (non-refundable in case of failed participation) in addition to the registration fee, for the activation of the multi-risk insurance policy and the third-party liability insurance (available online) as for the annual card-carrying athletes, only for the duration of the event, and it ensures the same coverage of the daily card.