* Fields are mandatory
Name (First and Family name)*

Date of birth (mm/dd/yyy)*

E-mail*

Phone*

Valid kiiking instructor certificate number*

I have had kiiking instructor certificate, issued by Estonian Kiiking Association (EKiikL), more than 1 year.*
YesNo

I have actively participated as an instructor in events recognized by EKiikL.*
YesNo

I have many experiences in supervising swingers.*
YesNo

I have independently organized and conducted kiiking at the event. What was name of the event, when and where it took place. Link some website where are pictures or videos.*

Other comment, clarification that you consider important.

I confirm the provided data is accurate.

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