Registration Form for Disabled

We invite you to have fun on the route between Władysławowo and Hel over a distance of approximately 40km. We will try for it to close the street for the duration of your journey, or at least secure the drive in the form of escort. Nevertheless, details at the beginning of 2017.

First and Last name (required)

Address email (required)

Phone number (required)

Town (required)

Date of birth dd/mm/yy

Sport Club

Do you want to receive a medal and a T-shirt and support Backup Team?

If, Yes to select a T-shirt size

Acceptance of the rules of participation GoToHell 2017 (required)
I declare that I am an adult, read and accept all the rules of participation in GoToHell2017.