Request Form

Foto: Inge Guffens Media

 

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