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*
Enter the characters below *
(After clicking "Send" you will receive a copy of your request in your email).