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LACO Goalie Camp 24 - 28.6.2016
Prihlasovací formulár
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* Indicates required question
Priezvisko / Last name
*
Your answer
Meno / First name
*
Your answer
Hokejový klub / Hockey club
*
Your answer
Dátum narodenia / Date of birth
*
MM
/
DD
/
YYYY
Výška / Height
*
Your answer
Veľkosť dresu / Size of jersey
*
Choose
S
M
L
XL
XXL
XXXL
Veľkosť trička / Size of T-shirt
*
Choose
S
M
L
XL
XXL
XXXL
Prihlasujem sa na LACO goalie camp 24 - 28.6.2015
*
(za osobnej účasti Jána Laca / with participation of Jan Laco)
299 EUR (s ubytovaním / with accommodation)
249 EUR (bez ubytovania / without accommodation)
Telefón rodiča / Parent's phone number
*
Your answer
Telefón brankára / Goalie's phone number
Your answer
Email rodiča / Parent's email
*
Your answer
Email brankára / Goalie's email
*
Your answer
Obmedzenia - užívanie liekov, alergie, alebo iné / Constraints - medications, allergies etc.
Your answer
Odkial si sa dozvedel o LACO Goalie Camp? / From where did you hear about LACO Goalie Camp?
Plagát / Poster
Facebook
Od známeho / From friend
hľadaním na internete / searching the web
Other:
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