LACO Goalie Camp 24 - 28.6.2016
Prihlasovací formulár
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Priezvisko / Last name *
Meno / First name *
Hokejový klub / Hockey club *
Dátum narodenia / Date of birth *
MM
/
DD
/
YYYY
Výška / Height *
Veľkosť dresu / Size of jersey *
Veľkosť trička / Size of T-shirt *
Prihlasujem sa na LACO goalie camp 24 - 28.6.2015   *
(za osobnej účasti Jána Laca / with participation of Jan Laco)
Telefón rodiča / Parent's phone number *
Telefón brankára / Goalie's phone number
Email rodiča / Parent's email *
Email brankára / Goalie's email *
Obmedzenia - užívanie liekov, alergie, alebo iné  / Constraints - medications, allergies etc.
Odkial si sa dozvedel o LACO Goalie Camp? / From where did you hear about LACO Goalie Camp?
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