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1. FORMULAIRE DE (RÉ)INSCRIPTION 2024/2025
Breakdance / Parkour & Tricking (
www.breakbender.com
)
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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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