2nd Indonesia Aquatic Festival 2018

Junior Water Polo Championships (20 Years & Under)

FINAL ENTRY FORM

MEN
National Federation/Country/
State/Province/Club Name :
Officials LAST NAME, First Name Mr/Mrs Passport #

1 Team Manager

2 Head Coach

3 Assistant Coach

4 Referee

Players

LAST NAME First Name Date of Birth Passport # Position

Cap #

Capt.
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(Please type in CAPITAL letter) (dd/mm/yy)

### Goalie

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### Goalie

Closing date: 03 April 2018 and submit to: indoswimfed@gmail.com

Approve and signed only by: President or Secretary General

Full Name Mr./Mrs./Ms.

Signature Stamp Date (DD/MM/YYYY)

2018
 2nd Indonesia Aquatic Festival 2018
Junior Water Polo Championships (20 Years & Under)
FINAL ENTRY FORM

WOMEN
National Federation/Country/
State/Province/Club Name :
Officials LAST NAME, First Name Mr/Mrs Passport #

1 Team Manager

2 Head Coach

3 Assistant Coach

4 Referee

Players

LAST NAME First Name Date of Birth Passport # Position

Cap #

Capt.
ç

(Please type in CAPITAL letter) (dd/mm/yy)

### Goalie

###

###

###

###

###

###

###

###

###

###

###

### Goalie

Closing date: 03 April 2018 and submit to: indoswimfed@gmail.com

Approve and signed only by: President or Secretary General

Full Name Mr./Mrs./Ms.

Signature Stamp Date (DD/MM/YYYY)

2018
FINAL ENTRY FORM