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Inscripció Casal de setmana santa Campredó
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Nom i cognoms del/de la participant:
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Data de naixement:
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MM
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DD
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YYYY
Edat:
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Adreça:
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Codi postal:
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Curs actual (2022/2023):
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Malaltia o al·lèrgia?
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Sí
No
En cas afirmatiu, quina?
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Pren algun medicament o és al·lèrgic/a a cap?
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SÍ
NO
En cas afirmatiu, quin?
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Quins dies vols venir?
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Casal ple (entraràs en llista d'espera)
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Observacions o comentaris:
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