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Inscriptions 2025-2026 groupe DECOUVERTE GAM 1
Pour les garçons nés en 2017, 2018 et 2019 le mercredi de 10h30 à 12h00
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Email
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Your email
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
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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
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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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