Request Form – Watersportbaan Tilburg

Association : *

Contact
(This person must be a legal representative of the association).
: *

Position : *

Mobile Phone : *

Email : *

Billing Information
(The invoice will be sent to the address below).

Adress : *

Postal Code : *

Place : *

Country : *

Data Training Camp

Number rowers / paddlers : *

Date / Time of arrival [dd-mm-yyyy / hh: mm] : *

Date / Time Departure [dd-mm-yyyy / hh: mm] : *

Use dinghies

1 or 2 Dinghies : *

Amount of days : *

Number of Sessions : *

The driver of the dinghy is in the possession of at least the small of license, license (I). (Obligated). :
Yes*

Comments

I agree to abide by the terms and conditions of the community, and Rules. (compulsory). :
Yes*

Enter the characters below *

(After clicking "Send" you will receive a copy of your request in your email).