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Inscriptions SPHERIA
saison 2022/2023
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* Indicates required question
Nom du danseur
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Your answer
Prénom du danseur
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Sexe
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Choose
F
M
X
Date de naissance
*
MM
/
DD
/
YYYY
Age du danseur
*
Your answer
Adresse (Rue + N°)
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Your answer
Code postal
*
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Localité
*
Your answer
Nationalité
*
Your answer
Téléphone (00 32 XXX/XXX.XXX)
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Your answer
e-Mail
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Your answer
Confirmer e-Mail
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