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Registration Globis Captain's Club

Contact details parent

Please only provide the contact details of one parent. Registration is only possible before the 10th birthday. Thank you very much.

Title

First name

Name

Address

Postal code

City

Country

Email

Mobile telephone no.

Child 1

First name

Name

Date of birth

Gender

Register another child

yes

no

Child 2

First name

Name

Date of birth

Gender

Register another child

yes

no

Child 3

First name

Name

Date of birth

Gender

Register another child

yes

no

Child 4

First name

Name

Date of birth

Gender

Text

I agree that my child(ren) will become a member of the Globis Captain's Club and that I will receive information about it by e-mail or post.
You can withdraw your consent at any time. For more information, please see our data protection declaration.

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