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Application Form 2019 - Meeting Hospitalet
Email address *
14th International Meeting of L´Hospitalet - Grand Prix Sauleda
Personal details
*
Name: *
Your answer
Surname: *
Your answer
DNI / PASSPORT: *
Your answer
Date of delivery:
MM
/
DD
/
YYYY
Date of expiry:
MM
/
DD
/
YYYY
Birthday: *
MM
/
DD
/
YYYY
Country: *
Your answer
Mobile: *
Your answer
COMPETITION - MEN
EVENT - CATEGORIES
COMPETITION - WOMEN
EVENT - CATEGORIES
Sport background
Class Track: *
Class Field: *
Club:
Your answer
Licence World Para Athletics:
Your answer
World Para Athletics licence (formerly IPC Athletics):
Your answer
Key Personal Best Performances / Main results? (Medal, Competition, Record, Ranking, etc)
i.e. 100m - T36 - World Championship - Lyon - 2013 - 1 - WR
Your answer
Companion /Carer - SI TIENES / IF ANY ((+ Passport number)
Companion/Carer (if any) *
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