* Complete Name:
Date of Birth:
-- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - -- 01 02 03 04 05 06 07 08 09 10 11 12 - ---- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 dd-mm-yyyy
Gender:
Male Female
Address:
ZIP:
City:
Province:
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Phone:
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Fax:
* E-mail:
Specify a language and the level of knowledge:
-- specificare -- sufficiente scolastico buono madre lingua
German
English
Danish
Dutch
French
Spanish
Other, specify:
Licence-Diploma-expirience with:
-- Specificare -- amatoriale istruttore agonista
Tennis
Canoeing
Archery
Surf
Judo
Karate
Swimming
Fitness
Aerobics
Step
SUB
I already had experiences with:
Miniclub
Juniorclub
Babyclub
Yes, I am available from:
Summer from:
-- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - -- 01 02 03 04 05 06 07 08 09 10 11 12 - ---- 2002 2003 2004 2005 dd- mm - yyyy
to
-- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - -- 01 02 03 04 05 06 07 08 09 10 11 12 - ---- 2002 2003 2004 2005 dd - mm - yyyy
Winter from:
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