SWIMMING & CULTURE – MASTERS – LEONIDAS 1: PRE-REGISTRATION FORM

Name

First

Last

Email

Phone Number (Please add WhatsApp number if applicable)

Gender

Date of Birth MM/DD/YYYY

Country

City

Address

Zip Code

Swimming Level

Package Price per Person (Breakfast and Dinner included)

members joining Date

Are any family members joining you during this trip?

If Yes, how many people are joining you?

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Name

First

Last

Date of Birth MM/DD/YYYY

Relationship

Please state any dietary restrictions, medical issues, disabilities or anything else we should be aware of:

Hellenic Aquatics