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Registration Form
Final Registration date: March 20th
9
Questions
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1
Team Name
If applicable
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2
Team Capitain - Name
*
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First Name
Last Name
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3
Team Capitain - Email
*
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example@example.com
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4
Team Capitain - Phone
*
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Please enter your whats'app number
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5
Discipline
*
This field is required.
Please make the paiement with your teamname in the comments : IBAN : BE61 7320 4695 4317 - BIC : CREG BE BB
Rookie (564€)
FS A (564€)
FS AA (564€)
FS AAA (564€)
VFS 4 way (564€)
Freestyle (440€)
Dynamic 2way (516€)
Dynamic 4way (564€)
Solo Speed (156€)
Scramble (144€)
Kids Challenge (300€)
Dynamic 2way Interm. (192€)
VFS 2 way (180€)
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6
Category
*
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OPEN Championship
Representing Belgium
Representing Luxembourg
Representing The Netherlands
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7
Team Members
If applicable
Name
Please enter your email
Name
Please enter your email
Name
Please enter your email
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8
Upload a team picture
*
This field is required.
or individual profile picture of all team members
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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9
Confirmation
*
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I confirm that the payment for the registration is completed via bank transfer, and this payment will serve as confirmation of your participation.
I have read Bulletin #1 and agree with all the information provided
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