Inscrieri HM maraton

Formular de inscriere la Hercules MARATON 26 mai 2012 - pentru SEMIMARATON formularul este AICI

Registration form for Hercules Marathon 26 May 2012

Inainte de a incepe completarea formularului va rugam asigurati-va ca ati achitat taxa de inscriere si aveti o copie scanata a dovezii de plata. Fara aceasta dovada nu te vei putea inscrie la Hercules!

Before you start filling out the registration form please make sure that you have paid the registration fee and you have a scanned copy of the payment proof. Without this proof you will not be able to register!

Nume/ Surname: *

Prenume/ First Name: *

Dovada plata/ payment proof: *

Scan/printscreen/foto dupa dovada platii taxei de participare. Se accepta fisiere jpg si png cu dimensiunea maxima de 800KB / jpg and png files are accepted with maximum size 800kb

Categorie/ Category: *

F = Feminin/Women M=Masculin/Man pe categorii de varsta/ by age category

Oras/ City: *

Tara/ Country: *

Domiciliu/ Address: *

Strada, numar, bloc, scara, etaj, apartament, oras, judet

Club Sportiv/ Team:

Telefon/ Phone No: *

Email: *

necesar pentru confirmarea inscrierii/ required for registration confirmation

Tricou/ Tshirt size: *

Data nasterii/ Birth Date: *

ziua/day luna/month an/ year

Carte identitate/ ID : *

Serie si numar/ identity card

CNP/ ID number: *

Confirmat/ Confirmed: *

Se va confirma de catre organizatori la verificarea platii taxei de participare/ Will be confirmed by the organizers after the verification of the payment fee.

Datele personale nu vor fi publicate si sunt necesare pentru completarea declaratiei pe propria raspundere. Aceasta declaratie o vom completa noi cu datele dumneavoastra, iar la fata locului va trebuie doar semnata. Astfel vom incerca sa diminuam aglomeratia de la validarea inscrierilor. Mai jos puteti citi textul declaratiei ce va trebui s-o semnati la validarea inscrierilor.
Va multumim pentru intelegere, ne vedem pe valea Cernei!

Declar pe propria raspundere ca sunt apt, din punct de vedere medical, sa particip la competitia de alergare montana „HERCULES MARATON 2012”.
Am luat cunostinta despre toate aspectele legate de participarea efectiva la competitie si de riscurile care pot interveni, din Regulamentul HERCULES MARATON publicat pe site-ul internet www.alternativetm.ro/herculesmaraton, precum si in mod direct de la membrii echipei Hercules Maraton.
In sensul celor de mai sus imi asum intreaga responsabilitate pentru eventualele accidente pe care le voi suferi ca urmare a participarii la competitie.

Personal data will not be published and is mandatory for filling out your statement of participating at your own risk. This statement will be filled by us with your personal records and must be signed by you on the spot, at your arrival. This is, in order to avoid crowds during the validation of submissions. Below, you can read the statement that you will have to sign.
Thank you for your understanding, we'll see you in the Cerna Valley!

I certify that I am able to participate, in medical terms, in the mountain running competition "HERCULES MARATHON 2012".
I was informed about all aspects of effective participation in the competition and about all the risks that may occur, by reading the HERCULES MARATHON Regulation, published on the website www.alternativetm.ro/herculesmaraton, as well as directly from the Hercules Marathon team.
According to the above statement, I take full responsibility for any injury I might suffer as a result of participating in the competition.

Persoane Înscrise

	Nume/ Surname	Prenume/ First Name	Categorie/ Category	Oras/ City	Tara/ Country	Club Sportiv/ Team	Confirmat/ Confirmed
1	Sime	Remus	M 30-39	Timisoara	Romania	CS Alternative	DA/YES
2	Crainic	Calin	M 30-39	Timisoara	Romania	Alternative Timisoara	NU/ NO
3	Crainic	Radu	M 30-39	Timisoara	Romania	Alternative Timisoara	NU/ NO
4	Fodor	Alexandru	M 30-39	Timisoara	Romania	C.S. DHS Tibiscus	DA/YES
5	Tale	Andrei	M 18-29	Bucuresti	Romania	tahoma.ro	DA/YES
6	Bernea	Tiberiu Gabriel	M 30-39	Brasov	Romania		DA/YES
7	Batran	Sorin	M 30-39	Timisoara	Romania	Alternative Timisoara	NU/ NO
8	Brenda	Mihai	M 30-39	Timisoara	Romania		DA/YES
9	Simion	Florin	M 30-39	Chiajna, sat Dudu	Romania	RO CLUB MARATON	DA/YES
10	Cornean	Marius-Gheorghe	M 40-49	Friedberg	Germania		DA/YES
11	Tekic	Jasmina	F 40+	Novi Sad	Serbia		NU/ NO
12	Ristic	Katica	F 18-29	Novi Sad	Serbia	Gocalina&Dule Team	DA/YES
13	Markovic	Zoran	M 50+	Novi Sad	Serbia	PSD Zeleznicar	DA/YES
14	Saric	Petar	M 30-39	Sremski Karlovci	Serbia	OK Strazilovo	DA/YES
15	Potanc	Gabriela	F 18-29	Timisoara	Romania		DA/YES
16	Bugeac	Stefan	M 18-29	Cluj - Napoca	Romania		DA/YES
17	Cosma	Adrian	M 18-29	Cluj Napoca	Romania		DA/YES
18	Zigic	Goran	M 30-39	Novi Sad	Serbia	OAK Novi Sad	DA/YES
19	Balan	Silviu-Constantin	M 18-29	Sacele	Romania	CPNT Race Team	DA/YES
20	Momic	Sasa	M 30-39	Bukovac	Serbia	Dule Team	NU/ NO
21	Coserea	Iulian	M 18-29	Sacele	Romania	CPNT	DA/YES
22	Ćulibrk	Bojan	M 18-29	Grgurevci	Republic of Serbia	ARK FRUŠKA GORA	DA/YES
23	Todorovic	Stevan	M 30-39	Petrovaradin	Serbia	ARK Fruska Gora	DA/YES
24	David	Cornelia	F 30-39	Bucuresti	Romania	EcoMarathon	DA/YES
25	Bostan	Adrian	M 18-29	Sibiu	Romania	EcoMarathon	DA/YES
26	Ćirić	Dragan	M 50+	Novi Sad	Serbia	ARK Tron	DA/YES
27	Popa	Bogdan	M 18-29	Bucuresti	Romania	RoClubMaraton	DA/YES
28	Zavodszky	Tamas	M 40-49	Oradea	Romania	C.S. Ady Liceum Oradea	DA/YES
29	Sângeorzan	Lazăr	M 50+	Oradea	Romania	CS. Ady Liceum Oradea	DA/YES
30	Stankov	Vladan	M 30-39	Novi Sad	Serbia		DA/YES
31	oprijen	nebojsa	M 30-39	novi sad	serbija		DA/YES
32	Mateescu	Daniel	M 30-39	Bucuresti	Romania		DA/YES
33	Frigioiu	Florin	M 18-29	Bucuresti	Romania		DA/YES
34	Neagoe	Ion	M 40-49	Brasov	Romania		DA/YES
35	ZAHARIA	GABRIEL	M 40-49	TIMISOARA	Romania	ARIA LAND	DA/YES
36	Al Marii	Lucian	M 30-39	Bucuresti	Romania	Cutezatorii Flo Adventure	DA/YES
37	Ottrok	Levente	M 40-49	Lenauheim	Romania	Marosmenti Mocorgók	DA/YES
38	Szilágyi	Lajos	M 40-49	Makó	Ungaria	Marosmenti Mocorgók	DA/YES
39	Erdei	István	M 30-39	Makó	Ungaria	Marosmenti Mocorgók	DA/YES
40	Oprea	Ovidiu	M 30-39	Timisoara	Romania		DA/YES
41	Benec	Daniel	M 30-39	Caransebes	Romania	Club Montan Caransebes	DA/YES
42	Vasiac	Diana-Maria	F 18-29	Timisoara	Romania	CS Alternative	DA/YES
43	Tiponut	Virgil	M 50+	Timisoara	Romania		DA/YES
44	Ignat	Alexandru	M 18-29	Timisoara	Romania		DA/YES
45	Vasilache	Marius Valentin	M 30-39	Bucuresti	Romania	Ro Club Maraton	DA/YES
46	SES	CIPRIAN	M 18-29	AIUD	Romania		DA/YES
47	CHIRICUTA	SEBASTIAN	M 18-29	Alesd	Romania		DA/YES
48	Licu	George Lucian	M 40-49	Boldesti Scaeni	Romania		DA/YES
49	Kover	Ladislau Paul	M 30-39	Oradea	Romania	-	DA/YES
50	Popescu	Luigi	M 30-39	Timisoara	Romania		DA/YES
51	GLINTA	FLORIN	M 30-39	Bucuresti	Romania	Flo Adventure	DA/YES
52	Tembea	Stefan	M 30-39	Bucuresti	Romania	Vanturarita Rm.Valcea	DA/YES
53	Tembea	Alina	F 18-29	Bucuresti	Romania	Argessis Pitesti	DA/YES
54	Copie	Adrian	M 40-49	Timisoara	Romania		DA/YES
55	Vlad	Florin-Danut	M 18-29	Valea Dragului	Romania	-	DA/YES
56	Richita	Adrian	M 30-39	Boldesti	Romania		DA/YES
57	Dragusin	Iulian	M 30-39	Bucuresti	Romania		DA/YES
58	Dogaru	Paula	F 18-29	Bucuresti	Romania		DA/YES
59	Scorobete	Florin	M 30-39	Timisoara	Romania		DA/YES
60	Dragoiu	Claudiu	M 18-29	Deva	Romania		DA/YES
61	Balan	Robert Ioan	M 30-39	Arad	Romania		DA/YES
62	Maier	Valentin-Adrian	M 30-39	Timisoara	Romania		DA/YES
63	Borza	Alexandru	M 50+	Resita	Romania	SUPERFIT	DA/YES
64	Glava	Oana	F 30-39	Resita	Romania	SUPERFIT	DA/YES
65	Milka	Zsolt	M 30-39	Arad	Romania	Asociatia Carpatina Banateana	DA/YES
66	Radu	Mihai-Lucian	M 18-29	Braila	Romania		DA/YES
67	Bosioc	Lucian	M 18-29	Timisoara	Romania		DA/YES
68	Luta	Emil-Stefan	M 18-29	Bucuresti	Romania	Echipa cu capul in nori si visatori	DA/YES
69	Haiduc	Mihaela	F 40+	Bucuresti	Romania	Planet Sport	DA/YES
70	Alempie	Maxim	M 30-39	Bucuresti	Romania		DA/YES
71	GLIGA	EUGEN	M 50+	BAIA MARE	Romania		DA/YES
72	Haiduc	Romeo	M 40-49	Bucuresti	Romania	planet sport	DA/YES
73	BELMUSTATA	ADRIAN	M 30-39	Timisoara	Romania		DA/YES
74	Dan	Stefan	M 30-39	Zarnesti	Romania		DA/YES
75	roca	marius	M 18-29	BUCURESTI	Romania	CLUBUL ALPIN ROMAN	DA/YES
76	Dvorak	Pavel	M 18-29	Pregue	Czech Republic		DA/YES
77	Sancraian	Vlad	M 18-29	Cluj Napoca	Romania		DA/YES
78	Trandafir	Bogdan	M 18-29	Cluj Napoca	Romania		DA/YES
79	Bora	Cătălin-Andrei	M 18-29	Timisoara	Romania		DA/YES
80	Brecica	Cristian-Carol	M 30-39	Caransebes	Romania	Dreamers	DA/YES
81	Cojan	Gabriel	M 18-29	Bucuresti	Romania		DA/YES
82	Popa	Alexandru	M 18-29	Bucuresti	Romania	Ro Club Maraton	DA/YES
83	Salasan	Aurel Stefan	M 18-29	Arad	Romania	Explorer Arad	DA/YES
84	Filip	Remus	M 18-29	Timisoara	Romania	AS Speotimis	DA/YES
85	Vince	Stefan	M 30-39	Alba Iulia	Romania	AS Speotimis	DA/YES
86	Robanescu	Mihai	M 30-39	Timisoara	Romania	AS Speotimis	DA/YES
87	Stana	Florin	M 30-39	Arad	Romania		DA/YES
88	Sanatescu	Andrei-Catalin	M 30-39	Dr. Tr. Severin	Romania		DA/YES
89	Osan	Silviu	M 30-39	Resita	Romania		DA/YES
90	Jianu	Alexandru	M 18-29	Timisoara	Romania		DA/YES
91	Ionescu Heroiu	Mihai George	M 40-49	Bucuresti	Romania	Echipa cu capul in nori si visatori	DA/YES
92	cozma	adrian-alin	M 30-39	recas	Romania	AS Speotimis	DA/YES
93	Mihalache	Madalina	F 18-29	Bucuresti	Romania		DA/YES
94	Petrut	Calin	M 18-29	Timisoara	Romania		DA/YES
95	Mica	Ioana	F 30-39	Cluj-Napoca	Romania	OTK Rzeznick	DA/YES
96	Popa	Georgiana	F 18-29	Bucuresti	Romania		DA/YES
97	diaconescu	radu	M 18-29	Bucuresti	Romania		DA/YES
98	Icma	Ion	M 30-39	Timisoara	Romania	C. S. Alternative	DA/YES
99	Arsene	Razvan Sebastian	M 18-29	V.V.Delamarina	Romania	Concordia Lugoj	DA/YES
100	Spulber	Andreea	F 18-29	Zarnesti	Romania	Concordia Lugoj	DA/YES
101	APOPEI	MARILENA IULIA	F 40+	BUCURESTI	Romania		DA/YES
102	Croitoru	Dan Emilian	M 30-39	Bucuresti	Romania	Ro Club Maraton	DA/YES
103	Drilea	Gabriel	M 40-49	Bucuresti	Romania	Locomotiva Bucuresti	DA/YES
104	Nistoreanu	Bogdan	M 30-39	Bucuresti	Romania		DA/YES
105	Antal	Monica	F 18-29	Timisoara	Romania	Alternative Timisoara	NU/ NO
106	Gheorghiu	Gabriel	M 30-39	Timisoara	Romania	Alternative Timisoara	NU/ NO
107	Halastauan	Daniel	M 40-49	vulcan	Romania	Adventure Fly	DA/YES
108	Constantin	Codrin	M 40-49	Brasov	Romania	Alpin Club Brasov	DA/YES
109	Daubler	Andy Klaus	M 18-29	Cluj Napoca	Romania	Daubler.ro	DA/YES
110	Puiu	Mihaela	F 18-29	Bucuresti	Romania		DA/YES
111	Anicai	Valentin Mihai	M 18-29	Lupeni	Romania		DA/YES
112	Puiu	Ilie	M 50+	Bucuresti	Romania		DA/YES
113	Barbieru	Razvan Gabriel	M 30-39	Ploiesti	Romania	In Alergare	DA/YES
114	HORJE	BOGDAN	M 30-39	TIMISOARA	Romania	Veveriţa Curioasă	DA/YES
115	Simic	Ivan	M 18-29	Belgrade	Serbia	ARK Fruska Gora	NU/ NO
116	Danila	Andreea	F 30-39	Bucuresti	Romania	Ro Club Maraton	DA/YES
117	Albert	Mihai	M 18-29	Timisoara	Romania		DA/YES
118	Matican	Ioana Maria	F 30-39	Bucuresti	Romania		DA/YES
119	Barbulescu	Dan	M 30-39	Bucuresti	Romania		DA/YES
120	Petre	Florian	M 30-39	Bucuresti	Romania		DA/YES
121	MARGAUAN	DANIEL	M 18-29	Timisoara	Romania	C.S.Tibiscus	DA/YES
122	Băleanu	Constantin	M 40-49	Turnu-Severin	Romania	SpeoAlpin MH	DA/YES
123	andronie	daniel	M 30-39	bucuresti	Romania		DA/YES
124	Radu	Elena Gabriela	F 18-29	Rimnicu Vilcea	Romania		DA/YES
125	Nitulescu	Alexandru Florian	M 18-29	Rimnicu Vilcea	Romania		DA/YES
126	Morusca	Alin	M 30-39	Bumbesti Jiu	Romania		DA/YES
127	Varga	Csaba	M 30-39	Oradea	Romania		DA/YES
128	Munteanu	Florin	M 30-39	Bucuresti	Romania	Parang Running Team	DA/YES
129	Micu	Florin	M 30-39	Bucuresti	Romania	Pif et Hercule	DA/YES
130	Rotund	Alexandru	M 40-49	cluj	Romania		DA/YES
131	Giurcanu	Mihai Mugurel	M 30-39	Bucuresti	Romania	Ro Club Maraton	DA/YES
132	Bulzan	Andrei	M 18-29	Timisoara	Romania		DA/YES
133	Zanfir	Valentin	M 18-29	Ploiesti	Romania	Echipmont	DA/YES
134	Paun-Vasiloni	Titus	M 18-29	Timisoara	Romania		DA/YES
135	Dumitru	Iulian	M 18-29	Bucuresti	Romania		DA/YES
136	Bica	Liviu	M 40-49	Bucuresti	Romania	Ro Club Maraton	DA/YES
137	Frincu	Nicolae Eugen	M 30-39	Pitesti	Romania	nu am	DA/YES
138	GLOGOVETAN	ADRIAN GELU	M 30-39	ARAD	Romania	RACING BIKE PRO	DA/YES
139	Umanschi	Mihai-Bogdan	M 18-29	Timisoara	Romania	C.S. Tibiscus	DA/YES
140	Visanescu	Adina	F 30-39	PITESTI	Romania		DA/YES
141	Mora	Cecilia	F 40+	Borgomanero	Italia	Valetudo skyrunning Italia	NU/ NO
142	Labonia	Isabella	F 30-39	DALMINE	Italia	Valetudo skyrunning Italia	NU/ NO
143	Hopulele	Florin	M 18-29	TIMISOARA	Romania		NU/ NO
144	Milea	Radu	M 18-29	Bucuresti	Romania	CS Unirea Alba Iulia	DA/YES
145	Visoiu	Ionut Razvan	M 18-29	Bucuresti	Romania		DA/YES
146	Covaci	Constantin	M 40-49	Curtea de Arges	Romania	-	DA/YES
147	NIMARA	ALEXANDRU	M 18-29	BUCURESTI	Romania	CS Otopeni	DA/YES
148	Mihai	Diana	F 30-39	Bucuresti	Romania		DA/YES
149	Beuca	Vasile	M 18-29	Poienile de sub Munt	Romania	Uloha	DA/YES
150	Cretu	Ionut Costel	M 18-29	Zarnesti	Romania		NU/ NO
151	Tudor	Cristina	F 30-39	Bucuresti	Romania		DA/YES
152	ZINCA	IONUT ALIN	M 18-29	VITORIA-GASTEIZ	Romania	Valetudo Skyrunning Italia	NU/ NO
153	CUCU	IONUT MARIUS	M 18-29	BUCURESTI	ROMANIA	FANTASTIC 4	DA/YES
154	Craciun	Claudiu	M 30-39	Craiova	Romania	Craimont Bucuresti	DA/YES
155	Florea	Daniel Alexandru	M 30-39	Bucuresti	Romania	Ro Club Maraton	DA/YES
156	Mihu	Octavian	M 30-39	Bucuresti	Romania		DA/YES
157	Mihu	Aurelian	M 30-39	Bucuresti	Romania		DA/YES
158	Tilea	Pepi	M 40-49	Zarnesti	Romania		DA/YES
159	Obrejan	Mihai Andrei	M 18-29	Timisoara	Romania	CS Tibiscus	DA/YES
160	Berindei-Petrache	Adrian	M 30-39	Bucuresti	Romania	nu este cazul	NU/ NO
161	Alexa-Pop	Olimpiu-Vasile	M 30-39	Brasov	Romania	Floare de Colt Brasov	NU/ NO
162	Molnar	Tibor	M 30-39	Cluj Napoca	Romania	iQuest Runners	NU/ NO
163	Brizio	Emanuela	F 40+	Aurano	Italia	Valetudo Skyrunning Italia	NU/ NO
164	Hagatis	Adrian	M 18-29	Brasov	Romania		DA/YES
165	Musat	Daniel	M 40-49	Bucuresti	Romania	ro club maraton	NU/ NO
166	Serban	Mihai	M 30-39	Bucuresti	Romania		DA/YES
167	Kleps	Arthur Sebastian	M 30-39	Bucuresti	Romania		DA/YES
168	Rotaru	Corina	F 18-29	Bucuresti	Romania		NU/ NO