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WLC 2016 Portugal - Registration Form
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* Indicates required question
Name, Surname
*
Your answer
Date of Birth
*
Your answer
Passport Number
*
(please provide the number of your chosen form of identification e.g. passport, national ID)
Your answer
Address
*
Your answer
City
*
Your answer
Postcode
*
Your answer
Country
*
Your answer
Telephone incl. Country Code
*
Your answer
Email
*
Your answer
Emergency Contact Details
*
(please provide the full name, telephone nr. incl. country code & your relation i.e. parent, partner, friend etc.)
Your answer
Do you suffer from any allergies?
(if yes, please state what you are allergic to, otherwise leave blank)
Your answer
Dietary Requirements
*
(please state if you are vegetarian, vegan or if you have any other special dietary requirements)
Your answer
Package
*
Please choose from one of the following options
5 nights
7 nights
How would you describe your level of longboarding?
*
Beginner
Intermediate
Advanced
Which longboarding discipline(s) are you interested in?
*
(tick as applicable)
Slalom
Dancing
Sliding
Downhill
Skateboard
Required
I will be bringing my own board(s)
*
Yes
No
I understand that it is my responsibility to obtain adequate sports/accident/travel medical insurance cover for this event and that I participate at my own risk.
*
I agree
Required
Please type your full name and the current date to confirm
*
Your answer
Submit
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