LACANAU 6-7-8 July 2007

BULLETIN D’INSCRIPTION - ENTRY FORM

FAMILY NAME

FIRST NAME

SEX

DATE OF BIRTH

DISCIPLINE/events:

SLALOM ¯ Best performance Homologated Buoys @ Metres

TRICKS ¯ Best performance Homologated Pts

JUMP ¯ Best performance Homologated Meters Ramp Height:

Entry fees : 150 € for one event, 200 € for 2 or 3 events (payable cash on the site before the tournament).

Envoyer votre inscription à :

Send this entry form to :

Géraldine Jamin

Fax : 33. 556 26 22 48

Email : GeraldineJamin@aol.com