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Witamy w systemie rejestracji II "Biegu Dinusia" 2015.
Dane opiekuna dziecka
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Imię opiekuna
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Nazwisko opiekuna
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Ulica
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Nr domu
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Nr mieszkania
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Miasto
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Kod pocztowy
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Kod pocztowy proszę wpisać w formacie (NN-NNN , np. 59-300)
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Numer telefonu
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Numer telefonu proszę wpisać w formacie NNN-NNN-NNN (np.601-123-123)
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adres e-mail
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