* 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 accuracy of the issued data.