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CAMPUS MULTIESPORTIU SETMANA SANTA 2021 JUNEDA
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NOM (nen/a)
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Your answer
COGNOMS (nen/a)
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DATA NAIXEMENT
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MM
/
DD
/
YYYY
NÚM. CATSALU
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NOM DEL PARE/MARE
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TELÈFON DE CONTACTE
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CORREU ELECTRÒNIC
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NEE?
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SI
NO
QUINA?
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COMENTA'NS ELS DUBTES QUE TINGUIS:
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HEU DE REALITZAR L'INGRÉS AL SEGÜENT NÚMERO DE COMPTE:
PER QUALSEVOL DUBTE, POTS CONTACTAR AMB NOSALTRES:
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