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Vereinsbeitritt EHC Kloten
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Name
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Vorname
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Geburtsdatum
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MM
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DD
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YYYY
Strasse
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PLZ
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Ort
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Telefon Privat
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Mobile Mutter
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Mobile Vater
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E-Mail
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Namen Eltern
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Bürgerort / Nationalität
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Frühere Clubs
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Hausarzt
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Krankenkasse / Name
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Unfallversicherung / Name
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AHV-Nummer
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Bemerkung
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Einverständniserklärung
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Mit meiner Anmeldung, erkläre ich mich einverstanden mit den Statuten des Vereins EHC Kloten
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