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Inscription Baptême
Questionnaire d'inscription au baptême de plongée du SPC
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* Indicates required question
Nom
*
Your answer
Prénom
*
Your answer
Adresse e-mail
*
Your answer
Numéro de téléphone
*
Your answer
Code postal
*
Your answer
Enfant ou Adulte
*
Pour les enfants, un accord parental signé sera demandé
Enfant
Adulte
Commentaires
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