1. FORMULAIRE DE (RÉ)INSCRIPTION 2022/2023

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1. FORMULAIRE DE (RÉ)INSCRIPTION 2022/2023

Breakdance / Parkour & Tricking (www.breakbender.com)

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* Indicates required question

Email *

Your email

Nom de votre enfant? *

Your answer

Prénom de votre enfant? *

Your answer

Date de naissance? *

MM

/

DD

/

YYYY

Adresse (rue + n°)? *

Your answer

Code postal? *

Your answer

Ville? *

Your answer

Numéro de téléphone? *

Your answer

Numéro de téléphone de votre enfant (PAS OBLIGATOIRE)

Your answer

E-mail de votre enfant (PAS OBLIGATOIRE)

Your answer

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