La Ronde Picarde - Henri Sannier - MOYEN

Personal informations

Last Name

First Name

Gender

ManWoman

You are a man. Continue if it is OK.

You are a women. Continue if it is OK !

Date of birth

Minimum 16 years old

Parental authorization model

Nationality

Postal adress :

E-mail

Confirm e-mail address

Your Phone number :

Club / Team :

I will use on race day a

Jersey

A collector's jersey will be offered.

To choose the right jersey size, please refer to the size guide.

The jersey size cannot be tried on or exchanged on bib number collection.

Mandatory to wear the jersey to take part in the raffle of the event.

Cycling jersey size

Sécurité

Name of the person to call in case of emergency

Phone number

License - medical visa

- Licensees -

Your FFC / UCI / FSGT / UFOLEP / FFTRI 2025 competition licence

- Not licensed -

> the certificate of positive evaluation of the health module available HERE on the FFC website by creating your space. (Please note that the certificate is valid for 4 months, so plan to validate it from June 20 2025)

> your medical certificate stating that you are not contraindicated in cycling in competition, less than one year old on the day of the event.

Do you have UCI race licence 2025 ?

Yes (UCI or FFC only)No (Non-licensed or other licences)

I am in the disabled category

NoYes, I am sending my FFH licence

You state that you are in the “Handisport” category. Is this the case?
If so, please submit your proof below. Thank you for your interest.

Shop

Official shorts

Socks

Gloves

Options

- Personal accident insurance -

Only FFC "Competition" licensees are covered in case of accident

It is therefore up to people who do not have a FFC Competition license to insure themselves for this type of damage.

The insurance is optional but highly recommended for all the persons not covered

Personal accident insurance

Yes, I take out personal accident insurance [+ 3 €]No, I renounce to subscribe to the cancellation guarantee

MEAL: Not included with registration. A sausage and chips option will be available on site for €10.

Agreement

Partner offers

I agree to receive information, offers and promotions from the event's partners

GDPR

I acknowledge that I am aware of the effects of the processing of my personal data and accept that this processing will be carried out within the limits of the purposes for which I have been informed and in accordance with the GDPR.

RGPD: Click here for more information.

La Ronde Picarde 2025