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Inscription sortie du 5-6 sept 2020 à Port Vendres
Sortie de 2 jours, 4 plongées, avec le club du CASA
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Prénom
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Licence
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Nom du club de licence
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Numéro du club de licence
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Niveau acquis
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Niveau en préparation (le cas échéant)
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Date du certificat médical
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