FAX THE FILLED-IN FORM TO NO. (Greenland) 981711
TEAM INFORMATION

All information in this section is REQUIRED.

Team Name :

 

 

TEAM MEMBER #1 (Captain) The team captain will be the point of contact for all correspondence between Arctic Team Challenge and your Team.

First Name :

 

Last Name :

 

Country of Residence :

 

Mailing Address :

 

 

 

Daytime Telephone :

 

Evening Telephone :

 

Email Address :

 

Date of Birth :

 

Team Member
Biography / Resume:
Please write a short description of your experience that qualifies you to participate in this adventure race , as well as information that can be used for media material

 
 

TEAM MEMBER INFORMATION :

We will consider applications from team captains who have yet to put together a complete team, and teams may be offered a conditional invitation pending submission of a complete application. Please describe the circumstances justifying an incomplete application in the form field below, "SPECIAL CIRCUMSTANCES"

TEAM MEMBER #2 :

 

First Name :

 

Last Name :

 

Country of Residence :

 

Date of Birth :

 

Team Member
Biography/Resume: Please write a short description of your experience that qualifies you to participate in this adventure race, as well as information that can be used for media material.

 

TEAM MEMBER # 3

 

First name :

 

Last Name :

 

Country of Residence :

 

Date of Birth:

 

Team Member
Biography / Resume:
Please write a short description of your experience that qualifies you to participate in this adventure race, as well as information that can be used for media material.

 

 

TEAM MEMBER # 4

 

First Name :

 

Last Name :

 

Country of residence :

 

Date of Birth :

 

Team Member
Biography / Resume:
Please write a short description of your experience that qualifies you to participate in this adventure race, as well as information that can be used for media material.

 

 

SPECIAL CIRCUMSTANCES:

Please describe any special circumstances or additional information that may be useful in evaluating your application.

 

CONNECTING FLIGHTS

Would the team like to have arranged connecting flights to Keflavik? (Iceland)

 

If yes from where ?

 

 

 

 

The Team is aware of the danger connected to the participation in a Adventure sports Race held in an Arctic environment. The team members hereby confirm that the participation in The Arctic Team Challenge 2003 is on each member's own risk, and the race committee will not be held responsible for any personal injuries or death.

 

NAME SIGNATURE
 

 

 
 

 

 
 

 

 
 

 

 

 

REGISTRATION CONTACT
AND PAYMENT PROCEDURE

The Team Entry Application Form must be FAXED to (Greenland) 981711

Entry fees must be transferred to The Arctic Team Challenge’s account
in Grønlandsbanken (Bank of Greenland)

Registration number: 6471 Account :144148-2

The receipt for the bank transfer must be faxed to
(Greenland) 981711 or sent to the following address:

Arctic Team Challenge
Anders Stenbakken
box 112 , 3913 Tasiilaq, Greenland

 
Important :

Important :
When a team application is accepted , the team must within 3 weeks transfer 25% of the total entry fee : DKK 10,500 to The Arctic Team Challenge’s account.
The final cut-off day for full payment is June 15th 2003.
The entry fee for one team is DKK 42.000,00. The entry fee includes flights from Reykjavik/Kulusuk and Kulusuk/Tasiilaq and return to Reykjavik , lodging , breakfast and evening buffet.
Residents of Greenland may participate at a reduced entry fee.