Mr Bear Belgium 2019
- Registration form for the election of Mr Bear Belgium

- You want to be a candidate for the title of Mr Bear Belgium 2019 ?

- Complet the form below :

Email address *
Surname : *
First name : *
Date of Birth : *
MM
/
DD
/
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Place of Birth : *
Adress : *
Nationality : *
Telephone number *
Photos (5 max) : *
Required
Please, write a few lines about who you are and why would you want to be candidate to this title: *
Please, write a few lines about a project or an idea if you are elected *
By sending this document, I recognize that I have read the participation rules to the election of Mister Bear and I do accept the terms and conditions https://drive.google.com/file/d/1C1aJwksYXjZc1ye9B11r3BmConX50x9j/view?usp=sharing *
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