NLV New Year's Dive 2019
This form is to register for the NLV New Year's Dive at January 20, 2019 .

Costs NLV member = 100K VND (renew 2019 at the event--> membership: 600K VND single, 1.2 mio VND family)
Costs for non-members: 500K VND (250K VND kids)

Address of the event: Saigon Kitchen - 7 Nguyễn Ư Dĩ, Thảo Điền, Quận 2, Hồ Chí Minh, Vietnam

Please fill in all fields and be aware there is a swimming pool at the event. Participation is at own risk.

What is your family name ?
Your answer
What is your first name (please include all family members if you would like to register all in once) ?
Your answer
# of adults
Your answer
# of kids
Your answer
Age of kid(s)
Your answer
Do you have a 2018 NLV membership?
Would you like to register for a NLV 2019 membership?
What is your email address?
Your answer
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