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Booking - individual players
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Dates
20-21.07.2013 - Beroun, CZ
12-13.10.2013 - Austria ( Tournament )
First name
*
Family name
*
Street / nr.
*
City
*
Post code
*
Country
other
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Phone
*
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Year of birth:
*
Health insurance
Private
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Club
*
Position
Forward
Defender
Goalie
I have been playing ice-hockey since
*
Squad player
*
Yes
No
Height in cm
*
Weight in kg
*
Size of dress
140
152
164
S
M
L
XL
XXL
Accompanying adults
0
1
2
3
4
5
6
7
8
9
10
Accompanying children
0
1
2
3
4
5
6
7
8
9
10
Parent or legal guardian (if applicant is underage)
First name
Family name
Street / nr.
City
Post code
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other
Germany
Austria
Schwitzerland
Italy
Czech Republic
Slowakia
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How did you learn about EHA?
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What EHA should know about the applicant (medicine, allergies etc.):
Send copy to me