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Pré-inscription section sportive La Binquenais
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Nom
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Your answer
Prénom
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Your answer
Date de naissance
*
MM
/
DD
/
YYYY
Etablissement scolaire
*
Your answer
Classe actuelle
*
5ème
4ème
Adresse postale
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Your answer
Adresse e-mail (famille)
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Numéro de téléphone (famille)
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Your answer
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