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DEMANDE DE REPÊCHAGE ET HORS LIGUE REGIONAUX LANA EN SALLE EPREUVES COMBINEES / MARCHE CA JU ES SE H/F
11 et 12 juin Brive
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DATE IMPERATIVE A RESPECTER
5 juin Minuit
NOM DU CLUB / CODE CLUB
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NOM DU DEMANDEUR
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COORDONNEES DU DEMANDEUR EMAIL/TELEPHONE
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NOM/PRENOM ATHLETE
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NUMERO DE LICENCE
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CATEGORIE
CADET
JUNIOR
ESPOIR
SENIOR
MASTER
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SEXE
FEMININ
MASCULIN
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EPREUVE
DECATHLON
HEPTATHLON
Marche
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PERFORMANCE REALISEE
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DATE
MM
/
DD
/
YYYY
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