Please Fill out the Number of Participating Teams Per Category

Provisional inscription BOAC 2016

Mail back to:

- before 1 September 2016

Participating club …

Club responsible: …

Address …

…

Telephone :……

Mobile :……

E-mail :…………………………………………………………………………..

Please fill out the number of participating teams per category:

D- JUN Duo :…………. D –JUN Grp :…………

D- SEN Duo :…………. D - SEN Grp :…………

C – SEN Duo :………… C – SEN Grp :…………

B – SEN Duo :………… B – SEN Grp :…………

Pupils: A – Youth

MP :………… MP :…………

WP :………… WP :…………

MixP :………… MIXP :…………

Wgp :………… Wgp :………….

M4 :………… M4 :………….

A – Junior 1 A – Junior 2 MP :…………

MP :…………

WP :………… WP :…………

MixP :………… MixP :…………

Wgp :………… Wgp :…………

A – Senior

MP :………… Wgp :…………

WP :………… M4 :…………

MIXP :…………

Judge 1 Name…………………………………………………………Email…………………………

Judge 2 Name…………………………………………………………Email…………………………

Judge 3 Name…………………………………………………………Email…………………………

Nominative inscription BOAC 2016:

D pair (Please use capital letters)

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME

BIRTHDATE

DISCIPLINE

01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / …………………...
…………………... / O MP
O WP
O MixP

Nominative inscription BOAC 2016 :

D Group (Please use capital letters)

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

BIRTHDATE

DISCIPLINE

Nominative inscription BOAC 2016 :

C pair (Please use capital letters)

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O MP
O WP
O MixP

Nominative inscription BOAC 2016 :

C group Please use capital letters

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC / O WGP
O M4

Nominative inscription BOAC 2016 :

B pair Please use capital letters

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016 :

B group Please use capital letters

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016 :

A yought pair Please use capital letters

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016 :

A yought group Please use capital letters

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016:

A juniors 1 pair Please use capital letters

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP
01.
02. / ……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O MP
O WP
O MixP

Nominative inscription BOAC 2016 :

A junior 1 group Please use capital letters

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4

Nominative inscription BOAC 2016:

A juniors 2 pair Please use capital letters

Please send back to before

12 th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016 :

A junior 2 group Please use capital letters

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI. / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4
01.
02.
03.
04. / ……………………………………………………………
……………………………………………………………
……………………………………………………………
…………………………………………………………… / O BALANCE.
O DYNAMIC
O COMBI / O WGP
O M4

Nominative inscription BOAC 2016 :

A senior pair Please use capital letters

Please send back to before

12th of Oktober

Club :…………………………………………………………………………......

PAIR

NAME + BIRTHDATE

EXERCICE

DISCIPLINE

Nominative inscription BOAC 2016 :

A senior group Please use capital letters

Please send back to before

- 12th of Oktober

Club :…………………………………………………………………………......

GRP

NAME + BIRTHDATE

EXERCICE

DISCIPLINE