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ProSayulita SUP OPEN Registration Form
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* Indicates required question
Email
*
Your email
NAME/
Nombre:
*
Your answer
BIRTHDAY
/Fecha de Nacimiento:
*
MM
/
DD
/
YYYY
AGE
/Edad:
*
Your answer
SEX
/Sexo :
*
Your answer
EMAIL ADDRESS (JUNIOR COMPETITORS, please use Legal Guardians email and phone number) (cCompetidores Junior, por favor usen email y número de teléfono de turor legal)
*
Your answer
EMERGENCY CONTACT
Name/
Contacto de emergencia Nombre:
*
Your answer
EMERGENCY CONTACT
Phone Number/
Contacto emergencia número de teléfono:
*
Your answer
EMERGENCY CONTACT
Relation to Contestant/
Relación con elcompetidor:
*
Your answer
CITY
/Ciudad:
*
Your answer
CLUB
/Club:
Your answer
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