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Formulaire Préinscription U7 (2017/2018) saison 2023-2024
Préinscription pour le Basketball au Pleuven Basket Ball pour la saison 2023-2024 (130€)
Certificat médical Obligatoire
Règlement possible via HelloAsso :
https://www.helloasso.com/associations/pleuven-basket-club/adhesions/adhesion-2023-2024
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NOM
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PRENOM
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DATE DE NAISSANCE
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MM
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DD
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YYYY
SEXE
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Masculin
Féminin
ADRESSE
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COMPLEMENT ADRESSE
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CODE POSTAL
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VILLE
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DOMICILE
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TEL PARENT 1
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MAIL PARENT 1
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TEL PARENT 2
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MAIL PARENT 2
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Règlement HelloAsso :
https://www.helloasso.com/associations/pleuven-basket-club/adhesions/adhesion-2023-2024
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