ESU 2021 IPSC Participant Registration Form

Basic Information

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* 1. First Name(s) /Given Name(s):

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* 2. Surname(s) / Family Name(s):

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* 3. Date of Birth

Date of Birth (Month/Day/Year)

Date

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* 4. Which country/region will you be representing?

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* 5. What time zone will you be in when competing on 10-14 May?