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INSCRIPTION BABYHAND 2022 2023
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NOM
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PRENOM
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DATE DE NAISSANCE
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ADRESSE
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CP
*
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VILLE
*
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NOM PRENOM PARENTS 1
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ADRESSE MAIL PARENT 1
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TELEPHONE PARENT 1
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NOM PRENOM PARENTS 2
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ADRESSE MAIL PARENT 2
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TELEPHONE PARENT 2
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TAILLE (CM)
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LATERALITE
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DROITIER
GAUCHER
AMBIDEXTRE
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