Entry form - losinj

XXXI EURO-AFRICAN SPEARFISHING CHAMPIONSHIP
MALI LOŠINJ, CROATIA, 13-17 SEPTEMBER 2017
ENTRY FORM
To be filled in and sent to the Srd “Udica” Mali Lošinj ([email protected]) and
HSSRM - Croatian federation od sports fishing on sea ([email protected]) by e-mail not later
than 1st June 2017
The Federation:
Address:
Tel.:
E-mail:
hereby seeks to enter its Team in the international spearfishing event called “X
XXXI
EURO-AFRICAN SPEARFISHING CHAMPIONSHIP”, due to take place on the
island of Lošinj, on the 15th and 16th September 2016. formed by:
First name
Surname
CMAS Licence no.
1st
athlete:
athlete:
3th athlete:
Reserve athlete:
Team Captain:
Doctor:
Other:
2nd
Date of arrival:
Date of departure:
Entrants also declare that they have read the Competition Rules and they accept them in full.
Location and date:
President