Registration Form Santa Fe-Coronda Amateur Swim

Last Name: Name: ID/Passport: Nationality: Gender: Date of Birth Age: Blood Type and Blood Factor: email: Phone Number:

Address: City: Province/State: Country: Weight (kg): Height (cm): Shirt Size:

Last Name: Name: ID/Passport: Phone Number:

Shirt Size:

Last Name: Phone Number:

Yes No

(Must be one of the 4 relay members)

Last Name: Name: ID/Passport: Nationality: Gender: Date of Birth: Age: Blood Type and Blood Factor: email: Phone Number:

Address: City: Province/State: Country: Weight (kg): Height (cm): Shirt Size:

Last Name: Name: ID/Passport: Nationality: Gender: Date of Birth: Age: Blood Type and Blood Factor: email: Phone Number:

Address: City: Province/State: Country: Weight (kg): Height (cm): Shirt Size:

Last Name: Name: ID/Passport: Nationality: Gender: Date of Birth: Age: Blood Type and Blood Factor: email: Phone Number:

Address: City: Province/State: Country: Weight (kg): Height (cm): Shirt Size:

Last Name: Name: ID/Passport: Nationality: Gender: Date of Birth: Age: Blood Type and Blood Factor: Email: Phone Number:

Address: City: Province/State: Country: Weight (kg): Height (cm): Shirt Size:

REGISTRATION FORM