2015 Taiwan International Dragon Boat Championships
Changhua County / Taiwan /

Preliminary Entry Form

Country
Team Name
Contact Person
Mobile
E-mail
Tel / Fax

Please place a “√” in the boxes below to enter each event of DB 22 and DB12

200m / 500m
Open
Women
Mixed

Please place a “√” in the boxes below to enter each event of DB 22 or DB12

200m / 500m
Master Mixed / DB 22 / DB12 / DB 22 / DB12

Accommodation

How many persons /
How many Days
Day of Arrival / Day of Departure

Date： Signature：

Nominal Entry Form

Country
Team Name
Contact Person
Mobile
E-mail
Tel / Fax

Deadline: before July 20, 2015.

Expected Number of Participants

Paddlers / Officials / Supporters / Sub-Total / Muslim
(Yes/No)
Male / Female / Male / Female / Male / Female / Male / Female
Total

Itinerary

Arrival / Flight No. / Arrival airport / The number
of people
Departure / Flight No. / Arrival airport / The number
of people

Standard Dragon Boat (DB 22) Application

Country

Team Name

Categories / □ Open □ Women □Mixed □Master Mixed
Distances / □ 200M □500M
NO / Participants / Family name / Name / Gender / Passport No. / Nationality
1 / Team Leader
2 / Coach
3 / Drummer
4 / Steerer
5 / flagpuller
6 / Paddler
7 / Paddler
8 / Paddler
9 / Paddler
10 / Paddler
11 / Paddler
12 / Paddler
13 / Paddler
14 / Paddler
15 / Paddler
16 / Paddler
17 / Paddler
18 / Paddler
19 / Paddler
20 / Paddler
21 / Paddler
22 / Paddler
23 / Paddler
24 / Paddler
25 / Paddler
26 / Paddler
27 / Paddler
28 / Paddler
Signature by representative : / Date : / (D/M/Y)

Small Dragon Boat (DB 12) Application

Country

Team Name

Categories / □ Open □ Women □Mixed □ Master Mixed
Distances / □ 200M □500M
NO / Participants / Family name / Name / Gender / Passport No. / Nationality
1 / Team Leader
2 / Coach
3 / Drummer
4 / Steerer
5 / flagpuller
6 / Paddler
7 / Paddler
8 / Paddler
9 / Paddler
10 / Paddler
11 / Paddler
12 / Paddler
13 / Paddler
14 / Paddler
15 / Paddler
16 / Paddler
Signature by representative : / Date : / (D/M/Y)

Team Introduction

The history of your team (briefly):

Competitions (participated before):

Competition awards:

The group photo: attached the team photo list

Country
Team Name
Contact Person
Mobile
E-mail
Tel / Fax
Chinese Taipei Dragon Boat Association / E-mail：