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Georgian Cup TIME ATTACK Stage III

On September 29, 2024, under the auspices of the Georgian National Motorsport Federation and organized by the Transporter Bikers Club:

Georgian Cup TIME ATTACK Stage III "Transporter League"

Class:

Motorcycle enthusiast

Event organizer: Transport Biker Club

Event start time: September 29, 11:00 am

Venue of the event: Rustavi International Motorpark

TIME ATTACK - Transporter League

Class : Motorcycle Enthusiast

Please fill in the medical questionnaire, which is drawn up according to the FIM medical code. Please mark the answer: Yes or No It is not allowed to provide false information or intentionally conceal information.

Loss of consciousness for any reason dizziness or headache

Yes

Eye problems (except glasses)

Yes

Asthma

Yes

Allergy

Yes

Diabetes

Yes

Heart problems

Yes

Blood pressure disorder

Yes

Stomach problems (ulcer, etc)

Yes

Uro-genital problems

Yes

Epilepsy or convulsions

Yes

Mental or nervous disorder

Yes

Problems with arms or legs incl.muscle cramp or joint stiffness

Yes

Blood disorder with tendency to bleeding

Yes

Blood group

Surgeries

Yes

Do you take any medicine or drugs regularly?

Yes

Have you had a tetanus shot? (Required) within the last 10 years

Yes

Have you had general anesthesia?

Yes

Have you had any complications during anesthesia?

Yes

Are you under a doctor's care?

Yes

აირჩიეთ საბორტე ნომერი

Choose your model

Note : If your model is not on the list, please contact the administration

Important notice: Please indicate the person to whom the special reason must be addressed (legal representative for minors) and a telephone number with an international prefix (for example +995 000 00 00 00)

One-Time License Form Event Registration Form

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