PROVISIONAL Entry Form COMPETITORS - Para

16th FAI World Paraski Championships 2017
http://paraski2017.com/ e-mail: [email protected]
ANNEX - 1
PROVISIONAL Entry Form
for 16th FAI World Paraski Championships
St.Johann/Alpendorf, MARCH 7th until 12th 2017
to be sent to the organizer via e-mail
[email protected]
before: DEC 11th 2016
Nation
Address NAC
Phone
E-Mail
Contact Person
Remarks/Notes
We intend to register the following number of participants:
Number
Head of Delegation
Team Manager
Team Coach/es
Interpreter
Medical/Media Persons
Accompanying Persons
COMPETITORS
Total number
of
thereof:
COMPETITORS JUNIORS
thereof:
MASTERS
MEN
WOMEN
Total number of
TEAMS
MALE TEAMS
FEMALE TEAMS
Total number of persons in delegation:
Name:
Signature:
(electronial possible)
Date: