Vercofly

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Pilot information

First name *

Name *

Email *

Category *

My motivation to participate *

Photo *

Hang gliding license *

Accident insurance

OR

Insured by my employer

Employer's company name

Liability insurance *

Post Code *

Localité *

Pays *

Mobile phone during competiton *

Emergency contact's mobile phone number *

Glider brand *

Modèle *

Marque de la sellette *

Modèle *