Entry form for the Dana Cup 2015 Club and contact information Club(*) Please let us know your club name. Contact person(*) Please let us know your name. Address(*) Please let us know your address. Post code and city(*) Please let us know your post code and city. Post code and city(*) Please let us know your post code and city. Country(*) DenmarkAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of the (Zaire)Congo, Republic ofCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupe (French)Guam (USA)GuatemalaGuineaGuinea BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory Coast (Cote D`Ivoire)JamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartinique (French)MauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew Caledonia (French)New ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPolynesia (French)PortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South Sandwich IslandsSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-Leste (East Timor)TogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWallis and Futuna IslandsYemenZambiaZimbabwePlease let us know your country. Telephone mobile(*) Please let us know your mobile number. E-mail(*) Please let us know your e-mail address. Fødselsdato(*) Dag01020304050607080910111213141516171819202122232425262728293031 / Mån010203040506070809101112 / År1915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020Mangler Fødselsdato B16 Boys born 1.1.1999 or later(*) 0 team1 team2 teams3 teams4 teams5 teams6 teams We would like to enter the following teams Afdeling MASH TeltetUgyldig indtastning Hvilke dage kan du hjælpe? Hele ugenTirsdagOnsdagTorsdagFredagMangler Hvilke dage? Other wishes or comments B17 Boys born 1.1.1998 or later(*) 0 team1 team2 teams3 teams4 teams5 teams6 teams Playing strip colour Please let us know your playing strip colour. B17 Boys born 1.1.1998 or later(*) 0 team1 team2 teams3 teams4 teams5 teams6 teams Har du andre kompetencer? LægeSygeplejerskeLægestuderendeSocial og sundhedshjælperFysioterapeutTømrerVVSElektrikerErhvervskort busTruck kørekortTrailerkortHygiejnebevisGræsslåning/Grønne områderArabiskEngelskFranskItalienskRussiskSpanskTyskMangler kompetencer? Other wishes or comments
