Registration Form
World Championships Ultra Multievents Turnhout 2017
Email address
Last Name
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First Name(s)
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Date of Birth
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Place of Birth (Town, Country)
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Current Nationality
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Female / Male
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Home Address (Street + No)
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Home Address (City)
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Home Address (Postal Code)
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Phone Number (+ land code)
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Mobile Phone Number (+ land code)
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Emergency Contact( Name)
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Emergency Contact (Phone Number)
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I want to register for:
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If applicable: Personal Best (heptathlon, decathlon, tetradecathlon or icosathlon)
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T-Shirt Size
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If VAL- or LBFA-member: official entry number (borstnummer)
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A copy of your responses will be emailed to the address you provided.
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