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FICHA DE INSCRIÇÃO SPEED NIGHT
ABEC RIO CLARO
Apoio: SECRETARIA DE ESPORTES
Avenida Castello Branco, Rio Claro-SP
Toda 4ª feira, as 19:30h
Gratuito
Inscrição obrigatória (preencher formulário online)
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NOME COMPLETO
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DATA DE NASCIMENTO
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MM
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DD
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YYYY
RG
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CPF
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ENDEREÇO
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TELEFONE
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TELEFONE - WHATSAPP PARA O GRUPO SPEED NIGHT
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EM CASO DE EMERGÊNCIA COMUNICAR: (indicar NOME, grau de parentesco e TELEFONE)
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Possui plano de saúde?
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Não
Qual o Plano de Saúde? (se não tiver, digite NA)
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