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Brises-lames/Golfbrekers/Breakers
Si tu préfères être bénévole d'encadrement / Als je liever ondersteunend vrijwilliger bent / If you'd rather be a support volunteer:
WE NEED YOU
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NOMS / NAMEN / LAST NAMES
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Your answer
PRENOMS / VOORNAMEN / FIRST NAMES
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Your answer
DATE DE NAISSANCE / GEBOORTEDATUM / DATE OF BIRTH
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MM
/
DD
/
YYYY
ADRESSE (Rue et numéro de domiciliation) / ADRES (Straat en huisnummer)/ ADDRESS (Street and house number)
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Your answer
CODE POSTAL / POSTCODE
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Your answer
VILLE / STAD / CITY
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Your answer
EMAIL
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Your answer
N° DE TELEPHONE / TELEFOONNUMMER/ PHONE NUMBER
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Your answer
N° COMPTE EN BANQUE / BANKREKENINGNUMMER / BANK ACCOUNT NUMBER
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Your answer
N° DE REGISTRE NATIONAL / RIJKSREGISTERNUMMER / NATIONAL REGISTER NUMBER
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Your answer
Personne à prévenir en cas de problème / Contactpersoon in geval van een probleem / Person to contact in case of problem
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Your answer
Son numéro de téléphone/gsm (*) / Hun telefoonnummer / their telephone number
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Your answer
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