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Register
portugalore
2023-11-26T15:40:13+01:00
Register
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Name
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Role
Contact
Email teamleader
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Enter Email
Confirm Email
Judge
(Required)
Gender
Male
Female
Role
Judge
Name
Gender
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Role
Contact
Coach
Judge
Other
Name
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Male
Female
Role
Contact
Coach
Judge
Other
Name
Gender
Male
Female
Role
Contact
Coach
Judge
Other
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Male
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Role
Contact
Coach
Judge
Other
Name
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Male
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Role
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Coach
Judge
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Invoice details
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Individual divers
Please note that only fully and correctly completed forms will be processed.
Date of birth is a required field.
Diver 1
Diver 1
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 2
Diver 2
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 3
Diver 3
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 4
Diver 4
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 5
Diver 5
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 6
Diver 6
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 7
Diver 7
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 8
Diver 8
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 9
Diver 9
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 10
Diver 10
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 11
Diver 11
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 12
Diver 12
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 13
Diver 13
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 14
Diver 14
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Diver 15
Diver 15
First name
Last name
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
1 m board
Junior star
A
B
C
All-in
3 m board
Junior star
A
B
C
All-in
Platform
A
B
C
All-in
Synchro couples
B/A and All-in
Synchro Diver 1
Gender
Male
Female
Synchro Diver 2
Gender
Male
Female
3 m board
B & A
All-inn
Synchro Diver 1
Gender
Male
Female
Synchro Diver 2
Gender
Male
Female
3 m board
B & A
All-inn
Synchro Diver 1
Gender
Male
Female
Synchro Diver 2
Gender
Male
Female
3 m board
B & A
All-inn
Synchro Diver 1
Gender
Male
Female
Synchro Diver 2
Gender
Male
Female
3 m board
B & A
All-inn
Synchro Diver 1
Gender
Male
Female
Synchro Diver 2
Gender
Male
Female
3 m board
B & A
All-inn
Team event
Juniors Mixed Team Event is composed of minimum 1 male and 1 female up to 4 (four) divers (mixed boys and girls of A and B Age groups (at least 1 from B present))
Team-event Diver 1
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
Team-event Diver 2
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
Team-event Diver 3
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
Team-event Diver 4
Gender
Male
Female
Date of birth
MM slash DD slash YYYY
Hospitality
Do you intent to use our hospitality services?
(Required)
Yes
No
Don't forget to fill in the hospitality form after you have send this registration form.
You said 'NO', are you sure? We will
not
arrange transport, lunch or dinner for you. You don’t need a discount code for Hotel van der Valk. If you do intent to use any of these, you have to choose ‘Yes’.
Responsibility coach * As a coach you are responsible for your team members and the divers.
(Required)
I agree with these
Terms and conditions
When sending us this registration form, you agree to the following terms and conditions.
Registration fee
All entrance fees will be paid in full at the latest on the 15th of January 2024.
Photo/video registration and publication policy
During the Eindhoven Diving Cup pictures and videos will be made. Visitors and participants of this event can reasonably expect that general photos and atmosphere photos and videos will be made in which they are visible.The Eindhoven Diving Cup and the media can use photos, footage and such, made during the competitions and the event for news, atmosphere pictures and promotional items of the event and the diving sport. It is not to be used for commercial advertising purposes. For that purpose permission must and always will be requested. It is forbidden to film and to take pictures in the changing rooms.
Consent
(Required)
With sending this form you are agree with our
privacy policy
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