Dutch Open Rafting Series 2012

Registration Dutch Open Rafting Series 2012

Klik op de vlag voor het Nederlandse inschrijfformulier

Please fill out the form below completely! We cannot handle incomplete registrations.
Fields marked with * are obliged fields.
If you have trouble or questions filling out the form, please contact us by email :
secretariaat@raftbond.nl

Please click on the 'SUBMIT BUTTON' after completing this form

TEAM NAME* :
Category*:
Men's Team
Women's Team
Mixed Team (a mixed team participates in the Men's Category)

TEAM NATIONALITY* :

TEAM CONTACT DETAILS :
(Where the organization of the DORS has to send the invoice to)

Organization* :
Contact Person* :
Address* :
Zip Code* :
Town/City* :
Country* :
Email address* :

NRB COMPETITION LICENCE 2012 :
(Mandatory for each participant, including the reserve team member. Costs € 10,00 per person per year)
Alle competition licences on one invoice (invoice will be sent to the address above)

Fill out the Team members for the R6 DORS #2
(a team participating in both races R4 & R6, are obliged to have 4 team members to be the same in the R4 and the R6)

Team Captain :
First name Last name
Email address
GSM number
Date of Birth
T-shirt size :

2nd Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

3th Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

4th Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

5th Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

6th Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

7th and Reserve Team member :
First name Last name
Email address
Date of Birth
T-shirt size :

Registration for DORS #3
Dutch Water Dreams, The Netherlands - 2012 October 6-7
Tick the appropriate box (only one choise per team possible)
R4 Artificial
R6 Artificial
R4 & R6 Artificial
⇒ Filling out the Team members for participation at the DORS #3 starting at September 1st 2012

Question about the Dutch Open Rafting Series:

Partners