Provisional entry FIAC 2012
6-7-8 April 2012
Club - Federation
Name of club or federation
*
Contactperson
First Name
*
Name
*
Phone
Mobile
Email address
*
Provisional entries
Delegation information
Head of delegation
Team Manager
Number of coaches
Number of judges
Number of additional visitors
Age Group
AG WP:
AG WG:
AG MP:
AG MXP:
AG MG:
Juniors
JUN WP:
JUN WG:
JUN MP:
JUN MXP:
JUN MG:
Seniors
SEN WP:
SEN WG:
SEN MP:
SEN MXP:
SEN MG:
I level
I1 Pair:
I1 Group:
I2 Pair:
I2 Group:
B-level
B jun Pair:
B jun Group:
B sen Pair:
B sen Group:
Accomodation
We will book accomodation via OC:
*
Yes
No
Remarks/questions
Need assistance with this form?
Report abuse
