Poza

FORMULAR DE INREGISTRARE

Detalii personale:
Nume si prenume: ________________________________________________________________
Masc / Fem CNP: _______________________________ BI/CI ______________________
Adresa: ________________________________________________________________________
Telefon/ mobil: __________________________ Email: _________________________________
Ocupatie: _______________________________________________________________________
Cerinte speciale/ vegetarian: ________________________________________________________

Filiala CR/ Organizatie:

Numele filialei/ organizatiei :______________________________________________________
Adresa: _______________________________________________________________________
Telefon: ________________ Email: ___________________web ___________________________
Responsabilitati principale in filiala/ organizatie: _______________________________________
_______________________________________________________________________________

Motivatie:
Care este motivatia ta de a participa la aceasta tabara: ____________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Ora sosirii in Sibiu: _____ Ora plecarii din Sibiu: _______ Mijloc de transport ______________

Declar pe propria raspundere ca sunt apt pentru a trai o saptamana la munte, particip integral la
tabara si am cunostinte de limba engleza.

Va rugam returnati formularul insotit de o poza pana la 30 iunie 2008 pe email:

crsibiu@yahoo.com. Multumim!

Crucea Rosie Romana, filiala Sibiu

Str. Xenopol nr. 1, Sibiu-550159, tel/fax: +40-269-217646, mobil: +40-741-118975, email: crsibiu@yahoo.com