Holmatro Rescue Challenge

Fire Brigade / Team Name: *

Address:

Country *

Contact person for this team

Please note:

We will send all information to this person only. This person is responsible for informing all team members!
If this contact person is also part of the performing extrication team, you will have to fill in the details again under team member!

Contact details:

Mr. / Ms. *

First name *

Last name *

Email address *

Mobile phone number:

(Including country code)

Your team should consist of 6 team members, including one Team Leader and one Medic/First aider. Fill in the details of each team member below:

Team member 1

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 1 (incl. country code)

T-shirt size

Team member 2

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 2 (incl. country code)

T-shirt size

Team member 3

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 3 (incl. country code)

T-shirt size

Team member 4

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 4 (incl. country code)

T-shirt size

Team member 5

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 5 (incl. country code)

T-shirt size

Team member 6

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 6 (incl. country code)

T-shirt size

Alternate team member (optional)

Function in team: *

Mr. / Ms. *

First name *

Last name *

Mobile phone team member 6 (incl. country code)

T-shirt size

On which day would you like to participate in the Challenge?

Please note that this date is not final.

Would you like to attend a morning or afternoon session?

Please note that this is not final.

Please note

Travel and hotel accomodation expenses are not included and should be arranged by yourself.
Your registration is not final until you receive a confirmation notice from the event organisation. The final teams will be chosen at random with a maximum number of teams per country and continent.
We will do our utmost to take your preferences into account but we cannot guarantee a specific day or time.

event registration

Holmatro Rescue Challenge

Register your team now

Contact person for this team

Team member 1

Team member 2

Team member 3

Team member 4

Team member 5

Team member 6

Alternate team member (optional)

On which day would you like to participate in the Challenge?

Would you like to attend a morning or afternoon session?

Holmatro Rescue Challenge

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