Registration Atomiade PDF Free Download

Registration Atomiade 2018 (Hosted by JRC Ispra, June 8 - June 11, 2018) Please send back to M. Stephan until 08.01.2018 1.) Name, First name 2.) Address 3.) _ Tel.: Email Arrival Return 4.) _ HZB dept. / Tel.: Participation in arrival and / or return travel only for HZB employees up. Registr. until 08.01.18 5.) Date of birth 6.) Are you a membership of the company sport community Helmholtz-Zentrum Berlin? Yes No (Members of the BSG -HZB are insured with Landessportbund Berlin liability and accident.) 7.) I would like to participate in the following sports competitions: (Please note that the individual sports competitions overlap in time and that participation or transfer between the sports facilities cannot be guaranteed) 8.) Accommodation request additional 40,- per Nacht Hotel name Double room (teilen mit ) Single room (City, Le Robine, Palace, Cagnola) 9.) I hereby confirm that I have carefully read the enclosed information sheet for the 16th Atomiade in Varese with the advice of the board of the BSG - HZB. I accept the conditions and the (temporal and organizational) procedure of the event. With this registration and deposit of 50, - as part of the participation fees is due by 15.01.2018. Deposits received after this deadline cannot be considered and the registration becomes invalid! Date, signature

Information / conditions of participation The 16th Atomiade 2018 takes place from 08.06. - 11.06.2018 in Varese / Italy, hosted by the JRC Ispra. Registration Please fill out the registration form and send or hand it in by the 08/01/2018 to the BSG HZB e.v. for the attention of Martina Stephan, respectively betriebssport@helmholtz-berlin.de With the written registration, a deposit of 50, - per person is due, which you have to transfer to the account of the BSG by 15.01.2018 (see footnote). The online registration as well as the transfer of the participation fees to the organizer will be carried out exclusively by the board of the BSG HZB e.v.. Registration fees Registration fees The participation fees are composed as follows: Participation all inclusive (participation in the competitions + accommodation in a double room + shuttle service between the sports facilities / venues + meals): 290, - Participation all inclusive in a single room: 290, - + 40, - / p. Night = 410, - Participation all inclusive + green fee (golf): 400, - (in single room + 120, - ) Participation for supporters (without competition participation): 250, - Participation without accommodation: 140, - The dinner on Saturday evening, the drinks with the meals, as well as the transfers from the airport to the hotel, or hotel - airport are exclusive The participation fees are only to be transferred to the account of BSG HZB (see footnote)! Please do not transfer the participation fees to the account of the organizer! The organizer will not refund the deposit of 50, - in case of cancellation. For further conditions see https://www.asceri.eu/en/16th-atomiade-2018 Traveling expenses The management of Helmholtz Zentrum Berlin assumes all travel expenses for employees with currently existing contracts, whose registration is available to the executive Board of BSG HZB by 08.01.2018. The joint arrival / return travel (08.06 / 11.06.) is booked through the HZB company travel bureau by the board / or the Management. Employees who wish to arrive or leave on any other day than these specified will have to bear the expense and organize the transport themselves. (for example: for a longer stay) External members have to bear their travel expenses as well as the organization themselves. General information The organizer needs a medical fitness certificate valid at the time of participation. Basically late entries are possible. The organizer guarantees the negotiated prices with the hotels and the associated transfers only for registrations until 31.01.2018. The above mentioned time limit applies to the payment of travel costs. Tip: Please register as soon as possible this will allow the whole team in accommodation near to the respective sports fields. Please note that the Sport events take place in different places and there are no transfers between the different Sports fields. Thus, participation in several sport events that take place at different venues (sometimes at the same time) is not possible. BSG members are insured through the sports insurance of the LSB. Non-members are liable themselves.

Available accommodations ATAHOTEL Varese (in double bed rooms, near to social event tent) IBIS Hotel Varese (in double bed rooms, near to volleyball facility) CITY Hotel Varese (in double bed) + 5 single rooms HOTEL CAPOLAGO Varese (in double bed, near to small field soccer pitches) LE ROBINIE Golf Club (double bed/single rooms available) PALACE HOTEL (double bed/single rooms available) VILLA BORGHI (double bed) VILLA CAGNOLA (double bed/single rooms available) CENTRO CONVEGNI VILLA GAGNOLA (double bed/single rooms available) Supplement 40 /night for single room. The deadline for reserving your accommodation is 31st January 2018

28.11.2017 ATOMIADE 2018 Z:\bsg\Formulare\Atomiade2018_Sportarten 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 A B C D activity E activity F on on Sport city (tentative) Saturda Sunday 1 football 11-a-side Ispra-Taino-brebbia 2 football 6-a-side Varese 3 football Woman or Mixed 7-a-side (*) Varese 4 golf Solbiate Olona 5 karting Castelletto Ticino 6 shooting Gallarate 7 badminton Ispra 8 archery Varese 9 volley (men and mixed) Varese 10 Beach Volley Varese 11 basket (men and women) Varese 12 Petanque Varese 13 inline skating Ispra 14 Triathlon (750m-20km-5km) Ispra 15 Athletics Gavirate Track & Field 100m Track & Field 400m Track & Field 800m (female) Track & Field 1500m (male) Track & Field 3000m (female) Track & Field 5000m (male) Track & Field 4x100m relay (female) Track & Field 4x100m relay (male) Track & Field 4x500m mixed relay Track & Field 4x400m mixed relay Track & Field 4x300m mixed relay Track & Field 4x200m mixed relay Track & Field 4x100m mixed relay Track & Field Long Jump Track & Field High Jump Track & Field Shot Put Track & Field Javelin Track & Field 3 Event (shot put, long jump, 100m sprint) 16 Trail Running 16km Ispra 17 swimming Varese 50m free Style 100m free Style 400m free Style 50m Breast Stroke 100m Breast Stroke 50m Back Stroke 100m Back Stroke 50m Dolphin/Butterfly 100m Dolphin/Butterfly 100m Individual Medley 4x50m Mixed Free Style Relay 4x50m Mixed Breast Stroke Relay 4x50m Mixed Medley Relay 18 tennis Ispra 19 table tennis + table tennis hobby Angera 20 cycling 50km Ispra 21 mountain bike 25km Travedona-Bregano 22 Bowling Varese 23 Chess Ispra 24 Ultimate Frisbee exhibition (*) Ranco 25 Rowing game or exhibition(*) Monate 26 Mountain Walk 5km social event (*) Varese 27 Mountain Walk 10km social event (*) Varese (*) depending on participation/leisure sports