XIX. NBC Cup – Club Teams 2021

Lorsch - Germany 4th to 09th October 2021

Registration Form B / Deadline 15th August 2021 till 24:00

- It is possible to register till 15 players born before 4th October 2005.
- For officials please write one of this functions: Head of Delegation, Coach, Physical Therapist, Companion

National Association *

Club

President of National Association *

Email of National Association *

Sent at *

Place *

Main Contact Name *

Main Contact Phone *

Main Contact Email *

Secondary Contact Name

Secondary Contact Phone

Secondary Contact Email

Officials

NBC ID

Last Name

First Name

Date of Birth (dd.mm.yyyy)

Gender

Function

m

w

m

w

m

w

m

w

m

w

m

w

Players

NBC ID

Last Name

First Name

Date of Birth (dd.mm.yyyy)

Club member since (dd.mm.yyyy)

NBC ID

Last Name

First Name

Date of Birth (dd.mm.yyyy)

Club member since (dd.mm.yyyy)