Nume * Prenume * Data nasterii * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 E-mail * Telefon * Adresa de resedinta * Doresc sa ma inscriu la Cursul / Pachetul * Basuc Sailing Costal Skipper C Costal Skipper B Open Sea Skipper A Regatta Summer School Reliable Crew Member VHS Radio Operator Skills Development Charter Charter Skipper Training CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.