Regional Elite Team
Information Form
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Email *
First Name *
Last Name *
AHV-Nummer *
Befindet sich auf der Krankenkassenkarte
Birth Date *
MM
/
DD
/
YYYY
Do you have a Swiss Passsport *
Adress, Zip Code, City *
Cell-Phone Number *
Do you have allergies or medical needs? *
Team you are playing *
Height *
Weight *
Position *
Second Position
Special Team Position
What is your jersey number?
A copy of your responses will be emailed to the address you provided.
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