PRIJAVNICA / REGISTRATION FORM / ANMELDUNGSFORMULAR / MODULO DI ISCRIZIONE
poslati na / send to / senden / spedire: [email protected]
Klub/Club/Verein/
Societa
Kontaktna oseba/Contact
person/Responsabile/
Kontaktperson
Naslov/Adress/
Adresse/Indirizzo
Tel.:
e-mail:
Država/Country/
Staat/Stato
28. 01. 2017 - Veleslalom/Giant Slalom/Riesentorlauf/ Slalom gigante
No.
Spol/
Sex/
Geschlecht/
Sesso
Tekmovalec/Competitor/Contestant/Competitore
1
Leto rojstva/
Year of birth/
Geburtsjahr/
Anno di nascita
Male
2
Male
3
Male
4
Male
5
Male
6
Male
7
Male
8
Male
9
Male
10
Male
28. 01. 2017 - Tekma s »POKI«/ “POK” night race/“POK”-Nachtrennen/Gara notturna ‘’POK’’ *:
Yes
No
29. 01. 2017 - Ekipna tekma/Team race/Gruppenspiel/Gara a squadre*: Select number of your teams
*Pravila/Regulations/Bestimmungen/Regole: For both events you will be able to arrange specifics (such as the number of competitors and their names) in the
race office upon your arrival onsite.
Datum/Date:
Podpis/Signature/Unterschrift/Firma:
________________________________
Submit the registration form
Alpski smučarski klub Branik Maribor ● Mladinska ulica 29 ● SI-2000 Maribor, Slovenija
TEL: +386 (0)41 678 315 ● E-MAIL: [email protected] ● WEB: www.littlefox.si
Matična št.: 4067851000 ● ID za DDV: SI 43084052 ● IBAN: SI56 34000 1015350968