COPPA ASI 2023 International Working Equitation
Sign in to Google to save your progress. Learn more
Email *
COGNOME E NOME / SURNAME NAME  *
NUMERO DI TELEFONO / TELEPHONE NUMBER
DATA DI NASCITA / DATE OF BIRTH *
MM
/
DD
/
YYYY
NAZIONE / NATION
ENTE DI APPARTENENZA / FEDERATION OF MEMBERSHIP
NUMERO TESSERA / LICENSE NUMBER *
CENTRO IPPICO DI APPARTENENZA / HORSE RACING CENTER OF MEMBERSHIP
NOME CAVALLO / HORSE NAME *
RAZZA / HORSE BREED *
DISCIPLINA / DISCIPLINE *
Required
CATEGORIA / DISCIPLINE *
TECNICO RESPONSABILE MINORENNI / JUNIOR RESPONSIBLE TECHNICIAN
EVENTO *
Required
BOX *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy