Visayan Longboarding Tour 2017 - Siquijor Edition Registration Form
March 31 - April 4, 2017
Email address
HELLO! Please fill in all necessary details below in order to complete the rego process:
Full Name: (Family Name, First Name)
Your answer
Contact number:
Your answer
Age:
Your answer
Birthday:
MM
/
DD
/
YYYY
Complete address (Important: Country/City):
Your answer
Gender
Activities you would like to join (Included in the VLT reg. fee)
Required
Add-on events: (NOT Included in the VLT reg. fee)
Required
Shirt Size
Person to contact in case of emergency:
Your answer
Contact number in case of emergency:
Your answer
Mode of Payment:
Submit
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