Registration Fancy-dress competition for children

Fields marked with * are required

Individual, Couples or Group*
IndividualCouplesGroup

Child’s name and surname*

Birth date*

Title of the Fancy-dress*

Mother/Father/Legal tutor’s name and surname*

ID card number*

Email*

Contact phone*

Address*

Name of the couple*

Children’s name and surname of the group*

Adult’s name and surname in representation of the group*

ID card number*

Email*

Contact phone*

Address*

Name of the group*

Number of members*

Children’s name and surname of the group*

Adult’s name and surname in representation of the group*

ID card number*

Email*

Contact phone*

Address*

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Asociación cultural da Filloa

CIF: G70447404. Vilar, 54 Lestedo. 15881 Boqueixón, A Coruña