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Sol·licitud de prova Extraescolar Hockey
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Dia que es vol assistir a la prova de l'activitat
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MM
/
DD
/
YYYY
Nombre i cognom del nen/a que assistirà
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Escola a la que faràs la prova
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Escola Bisba Egara
Escola Rosella
Club deportiu Terrassa Hockey
Edat del nen/a
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4
5
6
7
8
9
10
11
Curs i aula a la que se l'ha de recollir
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Dirección de correo electrónico
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