Registration form LIMO 2021
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Whats your team name? *
On behalf of which university do you participate? *
First and last name of team member 1 *
In which academic year is team member 1 *
Mail address team member 1 *
Address of team member 1 (Street name and number, zip code and place) *
Does team member 1 want an alcoholic or alcohol-free drink box? *
First and last name of team member 2
In which academic year is team member 2
Mail address team member 2
Address of team member 2 (Street name and number, zip code and place)
Does team member 2 want an alcoholic or alcohol-free drink box?
Clear selection
First and last name of team member 3
In which academic year is team member 3
Mail address team member 3
Address of team member 3 (Street name and number, zip code and place)
Does team member 3 want an alcoholic or alcohol-free drink box?
Clear selection
First and last name of team member 4
In which academic year is team member 4
Mail address team member 4
Address of team member 4 (Street name and number, zip code and place)
Does team member 4 want an alcoholic or alcohol-free drink box?
Clear selection
The entire team agrees that names and (email) addresses will be stored.  These will not be shared with third parties. The addresses will be used to send drink boxes. *
We declare with the entire team that alcoholic drink boxes are only selected for people 18 years or older *
Are there any allergies or dietary requirements that we need to take into account? Also indicate which participant is involved. (The packages are vegetarian)
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