MAD CUP registration

With this form you are registering for the MAD CUP 2009 competition. Please fill out all fields. Number of athletes is limited so register soon to ensure your start.

You can read more about the competition, pool, fees and more in the competition rules.

Registration deadline is 2^nd of March 2009. After this date no registration or changes to registration will be possible!

All accepted registrations will be confirmed to the provided e-mail address.

Registration fee amounts to 36€ and is payable at verification.

Personal information

First Name

Last Name

Gender

male

female

Date of birth

Country

Please choose... Afghanistan Albania Algeria Andorra Angola Antigua And Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Belarus Benin Bhutan Bolivia Bosnia And Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Central African Republic Cape Verde Chad Chile China Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Côte D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Ghana Georgia Germany Great Britain Greece Grenada Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova, Republic Of Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United States Of America Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Western Sahara Yemen Zambia Zimbabwe

Club / Team

T-shirt size

XXL XL L M S

E-mail

Performance announcement

Dynamics without fins / DNF (meters)

Statics / STA

minutes

0 min 1 min 2 min 3 min 4 min 5 min 6 min 7 min 8 min 9 min

seconds

00 sec 01 sec 02 sec 03 sec 04 sec 05 sec 06 sec 07 sec 08 sec 09 sec 10 sec 11 sec 12 sec 13 sec 14 sec 15 sec 16 sec 17 sec 18 sec 19 sec 20 sec 21 sec 22 sec 23 sec 24 sec 25 sec 26 sec 27 sec 28 sec 29 sec 30 sec 31 sec 32 sec 33 sec 34 sec 35 sec 36 sec 37 sec 38 sec 39 sec 40 sec 41 sec 42 sec 43 sec 44 sec 45 sec 46 sec 47 sec 48 sec 49 sec 50 sec 51 sec 52 sec 53 sec 54 sec 55 sec 56 sec 57 sec 58 sec 59 sec

Dynamics with fins / DYN (meters)

Accommodation

This year organizer will not take care of ccomodations. However it is realy easy to find it in Maribor, yust use web. One example is students home Drava the other is Uni Hotel.

Transport

Transport reservation and grouping. More about transport costs. Please fill out the reservation only once per person.

On (date and hour)

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 30

I need transportation for (no. of persons)

from airport (choose airport)

------------- Maribor Brnik (Ljubljana) 95€ per car Zagreb (Croatia) 90€ per car Graz (Austria) 50€ per car Wiena (Austria) 150€ per car

to MAD CUP competition site and back

on (date and hour)

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 30

transportation for (no. of persons)

from MAD CUP to airport (choose airport)

------------- Maribor Brnik (Ljubljana) 95€ per car Zagreb (Croatia) 90€ per car Graz (Austria) 50€ per car Wiena(Austria) 150€ per car

Names of person transport is for

Additional notes or coments

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