Sunday, February 05, 2012
Search
 
General Details
Name:
Surname:
Date of Birth (dd/mm/yyyy):
ID Card No:
Address:
Postcode:
Gender:
Home Tel No:
Office Tel No:
Mobile No:
E-mail:
Profession:
I would like to apply as:
Players
Volleyball marathons experience (kindly list years you participated as player):
Volleyball marathons experience (kindly list years you participated as volunteer):
Volleyball experience (kindly list clubs and years when you trained volleyball):
Coaches
If you are available to help out during the training sessions as a coach, kindly list your experience as a coach in the spaces underneath:
Disclaimer
I, the undersigned, assume full responsibility to participate in the 53 Hour Volleyball Marathon 2010 organised by the Dar tal- Providenza. The Dar tal-Providenza and/or the organisers will not be held responsible for any injuries or damages sustained by the undersigned during the training scheme or the marathon itself.
Participation
I, the undersigned, understand that if I do not qualify to take part in the 53 Hour Volleyball Marathon 2010 as a player, I will help out as a volunteer.
Passport-size Photo:
Signature:*
*Kindly input full name and surname in the space provided above - parents/legal guardians to sign this form for individuals under 16 years of age
ID Card No:
Copyright 2009, Id-Dar Tal-Providenza All Rights Reserved
Supported By
2i ltd
Developed by