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Gājējs (dalības maksa 5 EUR/pers.)
Man nav 16 gadu (dalība bez maksas)
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Vārds
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Uzvārds
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E-pasta adrese
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Telefona nr.
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Dalībnieks
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Dzimšanas gads
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Veselības problēmas, par ko vajadzētu zināt pārgājiena organizatoriem
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Kontaktpersona nelaimes gadījumos - norādīt vārdu, uzvārdu, mob.t., attiecības ar personu (māsa, brālis, sieva, tēvs utt.)
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Nākšu gājienā: 11. novembra krastmala 29 - Mangaļsalas mols
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Piekrītu, ka datus esmu iesniedzis labprātīgi un iesniegtie dati var tikt izmantoti gājiena organizēšanas nepieciešamībām.
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