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Registro para Inscripciones XTRM Race
Favor llenar con datos reales ya que esta información será utilizada para el seguro de la carrera.
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Email
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Your email
Nombre completo
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Your answer
Número de Cédula
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Your answer
Fecha de Nacimiento
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MM
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DD
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YYYY
Lateralidad
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Zurdo
Derecho
Número de Telefono
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Your answer
Nombre Beneficiario de Póliza
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Número de Cédula del Beneficiario
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Your answer
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