REGISTRATION FOR PARIS TRIP, Fri 23 - Sun 25 July '04

Please answer all questions for ALL applicants. and send to Andreas Kolattek
andreas@citiskate.co.uk 
 

 

1.                  How did you hear about the trip?

2.                  *Your full name, and title (Mr/Ms/Mrs)

3.                  *Email address for registration and future correspondence

4.                  *Date.of Birth (DD/MM/YY).

5.                  *Home address and postcode (USE A SINGLE LINE FOR YOUR WHOLE ADDRESS PLEASE)

6.                  *Contact numbers. Essential- H 020 XXXX XXXX ETC, all of mobile/home/work if possible (Use a single line)

7.                  Emergency contact number and state realtionship father/mother/friend

8.                  Approximate level (see http://www.citiskate.co.uk/levels.htm)
9.                  T shirt size and any special requirements / questions
10                 Preferred method of payment: cheque, bank transfer, debit or credit card
11                 Outline of your chosen trip, eg 2 people including Eurostar tickets, 2 beds, one double bed etc, 1 person excluding Eurostar etc

 

You will receive confirmation and details of how to pay
Thanks!
Andreas Kolattek