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Registration form

Registration form 2021

Team name:*
Category*
- FS - A
- FS - AA
- FS - AAA
- FS - Rookie
Nationality*
- Team captain
- Name*
- Gender*
  - Male
  - Female
  - Prefer Not to Answer
- Position*
- Nationality*
- T shirt size*
- Foodpackage (optional)*
  - No, thanks
  - Lunch
  - Diner
  - Lunch & Diner
  The foodpackages are not included in the regular fee.
- Member 2
- Name*
- Gender*
  - Male
  - Female
  - Prefer Not to Answer
- Position*
- Nationality*
- T shirt size*
- Foodpackage (optional)*
  - No, thanks
  - Lunch
  - Diner
  - Lunch & Diner
  The foodpackages are not included in the regular fee.
- Member 3
- Name*
- Gender*
  - Male
  - Female
  - Prefer Not to Answer
- Position*
- Nationality*
- T shirt size*
- Foodpackage (optional)*
  - No, thanks
  - Lunch
  - Diner
  - Lunch & Diner
  The foodpackages are not included in the regular fee.
- Member 4
- Name*
- Gender*
  - Male
  - Female
  - Prefer Not to Answer
- Position*
- Nationality*
- T shirt size*
- Foodpackage (optional)*
  - No, thanks
  - Lunch
  - Diner
  - Lunch & Diner
  The foodpackages are not included in the regular fee.
- Reserve
- Name*
- Gender*
  - Male
  - Female
  - Prefer Not to Answer
- Position*
- Nationality*
- T shirt size*
- Foodpackage (optional)*
  - No, thanks
  - Lunch
  - Diner
  - Lunch & Diner
  The foodpackages are not included in the regular fee.
Contact information team captain or contact
Telephone*
E-mailadress*
Address*
Zip code + place*
We would like to participate to the Dutch Championships
- YES!
- No.
Please attach your KNVvL Licence
KNVvL LICENCE IS REQUIRED FOR THE DUTCH CHAMPIONSHIPS
Team photo*
Team song*
Personal message*
Consent
I agree to the privacy policy.
Phone
This field is for validation purposes and should be left unchanged.

Indoor Skydive Roosendaal - De Stok 24, Roosendaal Noord-Brabant - Telephone: +31 (0)85 902 0606

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