COMPETITION FORM

Formulario  de Inscripción

Campeonato Ecuatoriano de Parapente, Hombres Pájaro 2011.

30 de Octubre al 4 de Noviembre del 2011.

·        fill the next form and send it to: fevl.parapente@hotmail.com

Name:

Last Name:

Birthday:

CIVL I.D:

Country:

City:

State/Province:

Phone Number:

Insurance Company:

Phone:

In case of emergency contact:

Name:

Phone Number:

Blood Type:

Alergies:

Sponsor:

Glider Model:

Glider Brand:

Color:

Certification:

Year of manufacture:

GPS Brand:

GPS Model: