Registration 2024 Two-Days Walk 2024 Registration DIT IS EEN TEST FORMULIER – NIET GEBRUIKEN OM JE IN TE SCHRIJVEN CECI EST UN FORMULAIRE DE TEST – NE PAS L’UTILISER POUR S’ENREGISTRER THIS IS A TEST FORM – DO NOT USE IT TO REGISTER Name * Name Name Name E-mail * Confirm E-mail * Enter your e-mail address twice for verification Phone Enter the mobile number here (international notation e.g. +32475123456). Do not use spaces or other characters. Address Address Address Address City City State/County State/County Zip/Postcode Zip/Postcode Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Brith * We need your date of birth to verify if you want to use the “discount Youth” and for our statistics. Club/Association Select your club/association by typing in name. If your walking club is not listed, please contact us. Member number * I am an IML walker I am a Klaver4 walker What is IML? You can find all the info here.What is Klaver4? All the info can be found here. Saturday, 4 May (no participation) 7 KM 15 KM 24 KM 50 KM Sunday, 5 May (no participation) 7 KM 15 KM 24 KM 32 KM Discount Club Saturday € Amount Saturday € Discount Club Sunday € Amount Sunday € Discount Weekend € Amount Weekend € Amount Saturday + Amount Sunday – Discount Weekend Total Walk Transport to Brugge on Saturday, 4 May Train to Brugge Train to Brugge Trein to Brugge: 7,50 € Transport from Blankenberge to Brugge by train (1 person) Overnight stay in accomodation of the Two-Days Walk Overnight stay Overnight stay Overnight stay: 29,00 € Overnight stay in accomodation of the Two-Days Walk T-Shirt This year we have designed a unique and beautiful sports T-shirt. Let people know you have walked the Two-Days Walk in Blankenberge and order your T-shirt now. More info on sizes can be found at https://www.2daagse.be/tshirt. Note: those who order in advance can come and pick up the t-shirt at the start. The earlier you order, the more certain you are that your ordered size will be available at the start. (none) Female – Extra Small (XS) Female – Small (S) Female – Medium (M) Female – Large (L) Female – Extra Large (XL) Male – Small (S) Male – Medium (M) Male – Large (L) Male – Extra Large (XL) Male – Extra² Large (XXL) Male – Extra³ Large (XXXL) Total options € Charity vzw Oranje – Unlimited Living Together This year, we are once again supporting charity. The Two-Days Walk will transfer part of the registration fee to vzw Oranje. vzw Oranje builds together an open and responsive society where everyone finds a meaningful place. vzw Oranje is aimed at all people with (suspected) disabilities and other socially vulnerable target groups, regardless of age or nature of the disability. The people of Oranje, in turn, also do their bit by being there for you together with our volunteers during the Two Days Walk. Would you also like to contribute to the ‘Living Together without limits’ that vzw Oranje is aiming for? My donation to Oranje none € 5 € 10 € 25 € 50 Total to be paid Payment If you are human, leave this field blank. Submit Δ