Ansökan NIU-bandy 16/17 - tjejer (pdf-fil, 187.8 kb)
Mimers Hus Gymnasium, idrottscentrum i Kungälv ANSÖKAN – NIU-bandy -tjejer 16/17 Jag anmäler härmed mitt intresse för att bedriva studier vid Mimers Hus Gymnasiums NIU-bandyinriktning i Kungälv läsåret 16/17. □ NIU-bandy, tjejer Plats i laget MV Utespelare □ □ □ Övrig idrott som: _____________________________________________ Namn: __________________________________________________________________________ Personnummer: ___________________________________________________________________ Adress: _________________________________________________________________________ Postadress: ______________________________________________________________________ Telefon: ____________________________________ Mobiltelefon: __________________________ E-post: ____________________________________ Nuvarande skola __________________________________________________________________ Nuvarande förening _______________________________________________________________ Tränare/ledare: Namn __________________________________________________________________________ E-post: __________________________________________________________________________ Telefon _________________________________________________________________________ Tävlingsresultat __________________________________________________________________ Ansökan NIU-bandy, tjejer 2016 Mimers Hus Gymnasium, Kungälv Ja Nej År Har varit uttagen i LANDSLAGSTRUPP □ □ __ Har spelat i DISTRIKTSLAG eller liknande □ □ __ □ □ __ Har varit uttagen i andra sammanhang som till exempel __________________________________ Övriga idrottsmeriter ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Övriga upplysningar och/eller referenser, tränarutlåtande ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Hur mycket tränar du i dag? _________________________________________________________ Underskrift och namnförtydligande _____________________________________ _____________________________________ _____________________________________ _____________________________________ Eleven Målsman Senast den 4 december 2015 vill vi ha din ansökan Ansökan sänds till Mimers Hus Gymnasium, Ulf Stevander, Box 574, 442 16 KUNGÄLV Ansökan NIU-bandy, tjejer 2016 Mimers Hus Gymnasium, Kungälv
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