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ENQUETE ETATS GENERAUX DU SPORT BOULES
IDENTIFICATION  (facultative)
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Nom Prénom
Age 
FONCTION (dirigeant, arbitre, commissaire, etc... ?)
N° LICENCE 
CATEGORIE *
M1
M2
M3
M4
F1
F2
F3
F4
U18
U15
U13
LOISIR
VOLET CLUB
VOLET SANTE
VOLET RAFFA
Ligne 1
COMITE D'APPARTENANCE 
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