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Formation passerelle du 09/10 Novembre 2019
Oyonnax
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NOM, PRÉNOM:
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Your answer
ADRESSE COMPLÈTE:
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Your answer
NUMÉRO DE TÉLÉPHONE:
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Your answer
NUMÉRO DE LICENCE:
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Your answer
NOM ET NUMÉRO DU CLUB D'APPARTENANCE:
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Qualification cadre:
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E1
E2
E3
E4
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NIVEAU APNÉE:
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Aucun
Apneiste Piscine
Apnéiste Eau Libre
Apnéiste Confirmé Eau Libre
RIFAA
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