Registration request - Hazebrouck International Youth Cup 2019
15-16 June 2019
Name of the club *
Where are you from ? (Country, city) *
Person in charge *
Coach (if different)
Person in charge's e-mail address
Coach e-mail address
Person in charge's telephone number
Coach's telephone number
In which category would you register your team? (if you want to register a team in each category, please complete 2 forms)
What is the level of the team registered? In wich championship is she involved? Does the team participates to a national Cup, a local Cup,...?
Registration Options
Registration with accomodation ?
1 night
2 nights
3 nights
Residency / Hotel
Registration without accomodation ?
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