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Dutch Furryears party [ 2015 - 2016 ]
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Nickname
*
Enter your nickname for on your badge.
Your answer
First Name
*
Enter your firstname
Your answer
Last Name
*
Enter your last Name
Your answer
Gender
*
Male
Female
Other:
Street
*
Enter your streetname and number
Your answer
Zip - City
*
Enter your zip and city
Your answer
Country
*
The Netherlands
Belgium
Germany
Other:
Email
*
Please enter your Email address so we can confirm your registration
Your answer
Phone number
*
Enter your phone number
Your answer
Date of birth
*
Example: 12/04/1991, Min age is 18 years
Your answer
Fursuiter
*
Are you a fursuiter?
Yes
No
Vegetarian or special diet
*
Yes, I'm a vegetarian
Yes, I have a special diet
No
Additional information
Do you use Medicine, Allergies or something else that we need to know?
Your answer
Drink card
We have a special system that we use behind the bar.
Prepaid Drink Card €10
Prepaid Drink Card €15
Prepaid Drink Card €20
Prepaid Drink card €25
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