■Entry Form
　
E-mail address:
Please fill in the mail address that can be received.
SURNAME
FIRSTNAME
IOC Nationality
FAI Sporting Licence Number:

IPPI ParaPRO

Gender:
Address:
Phone number:
Emergency Contact:
NAMEPhone number:
Birthday:
 / / 　 (Example:Y/M/D)
Glider manufacturer:
Glider model:
Glider Size:

Glider Main Color:

Communication: