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1063AD
Chi Siamo
Le Gare
Tesseramento
Attività Team
ViviPeccioli
Candidatura Pacer Maratona di Pisa
Application Pacer Maratona di Pisa
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RUN WITH US. BECOME A PACER OF THE MARATONA DI PISA
OPEN APPLICATIONS
Please submit your application “only if you have significant experience as a pacer for the distance for which you propose”
Application Pacer Maratona di Pisa
"
*
" indica i campi obbligatori
ARE YOU APPLYING TO BE THE PACER OF...?
Choose the distance
*
Maratona di Pisa
Mezza Maratona di Pisa
MARATONA: how long are you applying for?
*
3h
3h 15'
3h 30'
3h 45'
4h
4h 15'
4h' 30'
4h 45'
5h
5h 15'
5h 30'
5h 45'
6h
6h 15'
MEZZA MARATONA: how long are you applying for?
*
1h 24'
1h 30'
1h 35'
1h 40'
1h 45'
1h 50'
1h 55'
2h
2h 15'
2h 30'
PERSONAL DATA
Name
*
Name
Surname
Gender
*
Male
Female
Date of birth
*
GG slash MM slash AAAA
format gg/mm/aaaa (es. 31/01/1973)
Birth place
*
Where are you coming from?
*
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antartide
Antigua e Barbuda
Arabia Saudita
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgio
Belize
Benin
Bermuda
Bhutan
Bielorussia
Birmania
Bolivia
Bonaire, Sint Eustatius e Saba
Bosnia-Erzegovina
Botswana
Brasile
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambogia
Camerun
Canada
Capo Verde
Chad
Cile
Cina
Cipro
Colombia
Comore
Congo
Congo, Repubblica Democratica del
Corea, (Repubblica Democratica Popolare di)
Corea, Repubblica di
Costa Rica
Costa d'Avorio
Croazia
Cuba
Curaçao
Danimarca
Dominica
Ecuador
Egitto
El Salvador
Emirati Arabi Uniti
Eritrea
Estonia
Etiopia
Federazione Russa
Fiji
Filippine
Finlandia
Francia
Gabon
Gambia
Georgia
Georgia del Sud e Isole Sandwich Australi
Germania
Ghana
Giamaica
Giappone
Gibilterra
Gibuti
Giordania
Grecia
Grenada
Groenlandia
Guadalupa
Guam
Guatemala
Guernsey
Guiana Francese
Guinea
Guinea Equatoriale
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
India
Indonesia
Iran
Iraq
Irlanda
Islanda
Isola di Bouvet
Isola di Man
Isola di Natale
Isola di Saint Barthélemy
Isole Aland
Isole Cayman
Isole Cocos
Isole Cook
Isole Falkland
Isole Faroe
Isole Heard e McDonald
Isole Marianne Settentrionali
Isole Marshall
Isole Norfolk
Isole Saint Pierre e Miquelon
Isole Salomone
Isole Svalbard e Jan Mayen
Isole Turks e Caicos
Isole Vergini britanniche
Isole minori esterne degli Stati Uniti d'America
Isole vergini americane
Israele
Italia
Kazakistan
Kenya
Kirghizistan
Kiribati
Kuwait
Laos
Lesotho
Lettonia
Libano
Liberia
Libia
Liechtenstein
Lituania
Lussemburgo
Macao
Macedonia del Nord
Madagascar
Maglia
Malawi
Maldive
Malesia
Mali
Malta
Marocco
Martinica
Mauritania
Mauritius
Mayotte
Messico
Micronesia
Moldavia
Monaco
Mongolia
Montenegro
Montserrat
Mozambico
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Norvegia
Nuova Caledonia
Nuova Zelanda
Oman
Paesi Bassi
Pakistan
Palau
Panama
Papua Nuova Guinea
Paraguay
Peru
Pitcairn
Polonia
Polynesia Francese
Porto Rico
Portogallo
Qatar
Regno Unito
Repubblica Araba di Siria
Repubblica Ceca
Repubblica Centrafricana
Repubblica Dominicana
Riunione (Isola della)
Romania
Ruanda
Sahara Occidentale
Saint Kitts e Nevis
Saint Vincent e Grenadine
Saint-Martin
Samoa
Samoa americane
San Marino
Sant'Elena, Ascensione e Tristan da Cunha
Santa Lucia
Sao Tome e Príncipe
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovacchia
Slovenia
Somalia
Spagna
Sri Lanka
Stati Uniti
Stato della Palestina
Sudafrica
Sudan
Sudan del Sud
Suriname
Svezia
Svizzera
Tagikistan
Taiwan
Tanzania (Repubblica Unita della)
Territori Meridionali Francesi
Territorio Britannico nell'Oceano Indiano
Thailandia
Timor Est
Togo
Tokelau
Tonga
Trinidad e Tobago
Tunisia
Turchia
Turkmenistan
Tuvalu
Ucraina
Uganda
Ungheria
Uruguay
Uzbekistan
Vanuatu
Vaticano (Santa Sede)
Venezuela
Vietnam
Wallis e Futuna
Yemen
Zambia
Zimbabwe
eSwatini
State
Mobile phone number (including your country code)
*
Email
*
T-shirt size
*
XS
S
M
L
XL
XXL
TELL US ABOUT YOU
How long have you been running?
*
Less than 1 year
1 - 2 years
3 - 4 years
5 - 6 years
7 - 10 years
Oltre 10 years
Indicate your PB in marathon and half marathon of the last 2 years and in which races (races and year).
*
Paste the leaderboard (PB) links with your results here.
*
Have you already done the Pacer?
*
Yes, in Marathon and shorter distances
Yes, in Half Marathons and shorter distances
Yes, in the 10km
never
How many times have you done the Pacer in the Marathon?
*
How many times have you done the Pacer in a Half Marathon?
*
How many times have you done the Pacer in the 10km?
*
In relation to the last 5 times you have been a pacer, please indicate
In which races (races and year) and for what times
Insert the link to the relevant rankings with your results
DO YOU KNOW OUR COMPETITION?
How many times have you run the Maratona di Pisa?
*
How many times have you run the Half Maratona di Pisa?
*
Where can we see you?
Paste the links of your social profiles here
IN RELATION TO BIOLOGICALLY AND PHARMACOLOGICALLY ACTIVE SUBSTANCES AND MEDICAL PRACTICES THE USE OF WHICH IS CONSIDERED DOPING.
In order to allow the Company to activate the useful practices at the competent offices (Wada Nado).
*
I use specific medications
I don't use specific medications
CONSENT TO THE PROCESSING OF PERSONAL DATA BY THE COMPANY
FEDERAL INFORMATION FOR THE PROCESSING OF PERSONAL DATA UE n. 679/2016
*
I have read
I have read
NORMATIVA FEDERALE
CONSENT TO THE PROCESSING OF DATA 1063AD
*
I agree
I declare that I have read the
NORMATIVA PER LA TUTELA E CONSERVAZIONE DEI DATI
CONSENT FOR COMMERCIAL COMMUNICATIONS
*
I agree
Not I agree
I read the
NORMATIVA AL CONSENSO INFORMATO PER INVIO COMUNICAZIONI COMMERCIALI
CONSENT TO THE USE OF IMAGES - VIDEOS
*
I agree
I read the
NORMATIVA AL CONSENSO INFORMATO PER UTILIZZIO MIE IMMAGINI IN VIDEO O FOTO
Is there anything else you want to tell us? If you are willing to be a pacer even for times beyond those indicated, please indicate them here
Phone
Questo campo serve per la convalida e dovrebbe essere lasciato inalterato.
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