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SubRegional Semipermanente 2021-2022
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* Indicates required question
Nombre y Apellido
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Nacionalidad
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Sexo
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Choose
Masculino
Femenino
Parapente (Marca Modelo)
*
Ejemplo: Edel Atlas
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Fecha de Nacimiento
(DD/MM/AAAA)
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Homologación
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Choose
EN - A (DHV 1)
EN - B (DHV 1-2)
EN - C (DHV 2)
EN - D (DHV 2-3)
CCC
Color
*
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Sponsor
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Tipo de Licencia
*
Nivel de la licencia
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N-3 (Basica)
N-4 (Intermedia)
N-5 (Avanzada)
N-0 (No Tengo)
Nro de Licencia
*
Si no tenes, escribi NO TENGO (y rendíla...)
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E-Mail
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Correo electrónico de contacto
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