A. Personal details

First name:
Last name:
Address:
Sex: F/M
Email:
Telephone:
Mobile phone:
Country:
Groups / NGOs (if any):
Website from group/ NGO:

B. Border stuff

If you need a visa to cross any borders we will need this information from you:

Date of birth:
Place of birth:
Citizenship (as in passport):
Passport number:
Place of issue:
Date of expiration:

C. Commitment

( ) I have a bicycle and camping equipment and I'll bring those to the Biketour.
( ) I understand that Biketour is not a travel agency and it's up to everybody how well it will go. The participants are responsible for their own safety- bike lights, reflectors, helmet and an insurance - and for the safety of the group - i will keep an open eye and am willing to offer my help.
( ) I'll pay the participation fee (~15 ecos / day) on time.
( ) I'm able to wake up, eat breakfast, pack my things and leave the camp before noon.
( ) ...and in cases of extreme importance, even before 10 a.m.
( ) I'm fine with local vegan/vegetarian food.
( ) I'll participate in daily tasks, such as shopping, cooking and cleaning.
( ) I'll participate in the group decision making process.
( ) I appreciate to take part in planned actions.
( ) I understand it's my responsibility to organize my necessary visas, medical insurance or extra money.
( ) I'll do my best to minimize the group-lag, but I'll also understand if things take longer than if I were cycling on my own.
( ) I like the organisers' sense of humor and I will politely laugh when appropriate.

D. Dates

Rough schedule (minor changes possible):

I plan on coming:
I plan on leaving:

If you change your plans, please please notify us as soon as possible!
Knowing the number of participants is quite important for arranging accommodation and food...

E. Contributions

Biektour is learning from each other. Surely you have to share something - knowledge, skills, experiences, stories, politics, your language ... But as you can not talk to everyone on the tour we greatly appriciate workshops. Collect some material at home and hold a workshop about :

I'll bring:

( ) a tent with a spare place
( ) a bike trailer for communal use
( ) some advanced bike tools
( ) a musical instrument
( ) a photo camera
( ) a video camera
( ) a mobile phone that can sms/ call in case of an emergency. My number is:
( ) my telephone number can be added to the emergency telephone numbers list in the Biketour booklet

F. Food

I have the following special dietary requirements (please specify):

- Note that it is your own responsebility to make sure the cooks know about them - announce them in the circle -

G. Get known

( ) I agree for my name, sex, organization and country to be put on the public participants list on the web page (other data will be kept private anyway)

H. Healthcare

In case of an unfortunate emergency we need to have the following information from you.

Insurance

Name of your insurance company:
Insurance number (the number on your plastic card):
Insurance telephone number:

Emergency contacts

Person 1 to contact in an emergency:
Home phone:
Mobile phone:
Work Phone:
e-mail addresses:

Person 2 to contact in an emergency:

Home phone:
Mobile phone:
Work Phone:
e-mail addresses:

Please notify us when you use medicines, even if they seem very harmless. The following information can be life saving information! Your information will be kept private by the organizers and will only be revealed in case of an emergency.

Name of medicines:
What is the dose you need to take:
How many times per day do you take it:
Any allergies:
Other health problems that you have or had:
Any diseases that run in the family and could cause an instant problem to you:

I. Motivation

Why do you want to participate in Biketour ?