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Ringuette Saint-Laurent - Information sur la joueuse / Player information
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Nom de famille / Last Name
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Prénom / First Name
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Adresse / Address
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Ville / City
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Code postal / Postal Code
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# Carte d’assurance-maladie / Medicare Card #
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Expiration Carte / Card
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MM
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Date de naissance / Date of birth
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DD
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YYYY
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