JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
INTERNATIONAL HAINAUT CUP 2023 : U18 Filles
FORMULAIRE D'INSCRIPTION
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Samedi 07 octobre 2023 - Saterday october 7th, 2023 - Zaterdag 7 october 2023
Participation 12,00€ - Registration 12,00€ - Inschrijving 12,00€
Paiement sur le compte n° BE72 0882 6437 5616
BIC : GKCCBEBB
LICENCE
*
Numéro Licence - License Number
Your answer
NOM
*
Your answer
PRENOM
*
Your answer
Kyu - Dan
*
Choose
3 KYU
2 KYU
1 KYU
1 DAN
2 DAN
Autres - Others - Ander
DATE DE NAISSANCE
*
Année de naissance - Year of birth - Geb. jaar
MM
/
DD
/
YYYY
POIDS
*
- 40 KG
- 44 KG
- 48 KG
- 52 KG
- 57 KG
- 63 KG
- 70 KG
+ 70 KG
Required
NATIONALITE
*
Nationalité - Nationality - Nationaliteit
Your answer
CLUB
*
Nom du club - Name of the club - Naam van de club
Your answer
COACH
*
Nom du coach - Name of the coach - Naam van de coach
Your answer
ADRESSE MAIL
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
