WLC 2016 Portugal - Registration Form
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Name, Surname *
Date of Birth *
Passport Number *
(please provide the number of your chosen form of identification e.g. passport, national ID)
Address *
City *
Postcode *
Country *
Telephone incl. Country Code *
Email *
Emergency Contact Details *
(please provide the full name, telephone nr. incl. country code & your relation i.e. parent, partner, friend etc.)
Do you suffer from any allergies?
(if yes, please state what you are allergic to, otherwise leave blank)
Dietary Requirements *
(please state if you are vegetarian, vegan or if you have any other special dietary requirements)
Package *
Please choose from one of the following options
How would you describe your level of longboarding? *
Which longboarding discipline(s) are you interested in? *
(tick as applicable)
Required
I will be bringing my own board(s) *
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. *
Required
Please type your full name and the current date to confirm *
Submit
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