Potapljaško društvo Maribor
Koroška cesta 33
SI-2000 Maribor
Slovenia

t: +386 (0)41 349 580
f: +386 (0)2 6292 555
e: mad@h2oteam.com

Competitior registration

We kindly ask you to register via this on-line registration form. Please fill out all fields.

If you have any questions concerning your privacy, please look up the legal notice.

If you don't want to use the on-line form, feel free to register using this excel form (xls), and return it filled out on e-mail mad@h2oteam.com.

If you want to print out the registration form and fill it out please use this Adobe Acrobat form (pdf) and send it filled out to:
Sandi Bitenc
Uskoška ulica 48
SI-2204 Miklavž
Slovenia

or fax: +386 (0)2 6292 555

Registration deadline is 27^th of Februar 2006!

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Personal information

First Name:


Last Name:


E-mail:


Club / Team:


Nationality:


Sex:
male      female

Year of birth:
select 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950

T-shirt size:
select S M L XL XXL

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Announced performances

Dynamics without fins (DNF):
meters

Statics (STA):
minutes    seconds

Dynamich with fins (DYN):
meters

Special requests, questions, remarks...


Every accepted registration will be confirmed by e-mail or fax