Toggle navigation VCC inscription 2024 Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. VCC inscription 2024 The inscription is only valid after the annual fee of 20 CHF / 20 Euro have been paid. Payment can be cash / check or bank transfer.By check or cash sent toPrésident du Vélo Club CERNHenrik Nissen, EN/AAPostbox: A03700CERN 1211 Genève 23By bank transfer to the clubs UBS account. Please mark your transfer with your name! Account owner : Velo Club CERNNo de compte: 279-C7121883.0IBAN: CH53 0027 9279 C712 1883 0BIC: UBSWCHZH80A There are 11 questions in this survey. This survey is anonymous. The record of your survey responses does not contain any identifying information about you, unless a specific survey question explicitly asked for it. If you used an identifying token to access this survey, please rest assured that this token will not be stored together with your responses. It is managed in a separate database and will only be updated to indicate whether you did (or did not) complete this survey. There is no way of matching identification tokens with survey responses. VCC (This question is mandatory) FIrst name (This question is mandatory) Last Name (This question is mandatory) Status Choose one of the following answers CERN External Retired (This question is mandatory) Address (This question is mandatory) Telephone (This question is mandatory) E-mail (This question is mandatory) Contact person in case of accident Name and Telephone number (This question is mandatory) Is your tetanus vaccination less than 10 year old ? Yes No (This question is mandatory) Your civil responsibility insurance company* (This question is mandatory) I have read the clubs safety recommendations* club-velo.web.cern.ch/club-velo/safety.htm Yes No I consent to photos takes during VCC ride can be published on the VCC website* Yes No No answer Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×