Registration Form
Please enter all fields needed to carry out the registration, also select different options in which you apply.
Nam
e
Last Name
Mother’s Maiden Name
Exact Address, District, City, Province
Residence Telephone
Work Telephone Number
Cellular Telephone
Age
Gerden
E-mail
E-mail
Select
10 to 18 years
19 to 25 years
26 to 35 years
36 to 50 years
51 to 65 years
Senior Citizen
Select
Male
Female
INTERESTS
(Place an “check” before all the categories that are applicable):
Chess
Electrician
Automotive Mechanics
Masonry
Filming
Mechanics Hotels
Housekeeper
Photography
Mechanics Fishing
Visual Arts
Football
Commercial Fishing
Ballet
Business Management
Piano
Basketball
Graffiti
Pilotage Boat
Singing
Hip Hop
Painting Artist
Capitaneo Boat
English
Pool
Kitchen
String Instruments
Receptionist
Musical Composition
Percussion Instruments
Reservations
Computation
Wind Instruments
Solder
Construction
Gardening
Theatre
Cooperatives
Laundry and ironing
Table Tennis
Court and couture
Leadership
Volleyball
Folk Dance
Maintaining Boats
Beach Volleyball
Modern Dance
Crafts
Tennis
COMMITTEE OF INTEREST:
Environment
Community Safety
ETIC
Violence Interfamiliar
Sports
Public Relations
Moral and Enlightenment
Art and Culture
Youth
Social Work
Coordination Workshops
In Any Commission
Quepos, Costa Rica | Tel: (506) 2777-9797 | Fax: (506) 2777-9797 | Email: info@copaza.org