Registration for Pandanet Go Latin American Team Championship

Name

Given name: ^*

Family name: ^*

Asian name order:

Check this box if the family name is your first name.

Go related information

Rank: ^*

Nationality: ^*

Pandanet account: ^*

If you do not already have one there are instructions on how to create a new pandanet account on the FAQ page.

Go career:

Personal information

Email: ^*

The email address will be kept private and will not be shared with any 3rd parties.

Club / city:

Year of birth: ^*

Profession:

Photo: ^*

The photo will be automatically scaled to an appropriate size.

Comment

Comment: