Formulaire Préinscription Séniors Loisirs saison 2023-24

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Formulaire Préinscription Séniors Loisirs saison 2023-24

Préinscription pour le Basketball au Pleuven Basket Ball pour la saison 2023-2024. Adhésion = 100€

Certificat médical Obligatoire

Règlement possible via HelloAsso : https://www.helloasso.com/associations/pleuven-basket-club/adhesions/adhesion-2023-2024

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NOM *

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PRENOM *

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DATE DE NAISSANCE *

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SEXE *

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Féminin

ADRESSE *

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COMPLEMENT ADRESSE

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CODE POSTAL *

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VILLE *

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E MAIL *

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TEL PORTABLE *

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Règlement Hello Asso :

https://www.helloasso.com/associations/pleuven-basket-club/adhesions/adhesion-2023-2024

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