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Inscriptions 2026-2027 groupe DECOUVERTE GAM 1
Pour les garçons nés en
2018-2019-2020
Mercredi 11h00-12h30
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NOM DE L'ENFANT
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PRENOM DE L'ENFANT
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SEXE
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Féminin
Masculin
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DATE DE NAISSANCE
*
Date
NUMERO AVS
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NATIONALITE
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ADRESSE POSTALE
Numéro + Rue
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NPA + Ville
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COORDONNEES
NOM DU REPRESENTANT LEGAL
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TELEPHONE 1
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TELEPHONE 2
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MAIL 1
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MAIL 2
Your answer
PROFESSION DES PARENTS
PERE
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MERE
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INFORMATIONS SANTE
Allergies, diabéte, informations importantes pour les entraîneurs
informations particulières
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Nom et numéro assurance complémentaire
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SIGNATURE
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SIGNATURE
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