Bitcoin Ultra Trail

Welcome to the BTC100 Bitcoin Ultra Trail!

Runner details

Nationality *

National ID or passport number *

Every runner must have their own unique ID number.

Gender *

Date of birth *

First name *

Last name *

Runner medical details

Blood type *

Health issues

Contact information

Phone number *

Email *

Emergency contact

Emergency contact name *

Emergency phone *

Shirt size

Shirt size *

Shirt color *

I agree to allow Bitcoin Chiang Mai to collect personal information for use in publicizing group activities and for data management to facilitate various activities. Personal information to be collected includes name-surname, address, telephone number, photographs (Photo), moving images (VDO), etc. *

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Bitcoin Ultra Trail

10KM

25KM

50KM

100KM

Runner details

Runner medical details

Contact information

Emergency contact

Shirt size