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Féminin
Masculin
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1.
18-19
2.
20-29
3.
30-39
4.
40-49
5.
50-59
6.
60-69
7.
70-79
8.
80 et plus
9.
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1.
Rosemont
2.
La Petite-Patrie
3.
Plateau-Mont-Royal
4.
Hochelaga-Maisonneuve
5.
Montréal-Nord
6.
Ahuntsic
7.
Villeray
8.
Verdun
9.
Saint-Michel
10.
Saint-Léonard
11.
Mile-End
12.
Notre-Dame-de-Grâce
13.
Côte-des-Neiges
14.
Laval
15.
Longueuil
16.
Rive-Sud
17.
Rive-Nord
18.
Autre
19.
Option 19
20.
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Course à pied
Athlétisme (piste)
Yoga
Méditation
Essentrics
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Main propre (prochaine rencontre)
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Oui
Non
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Nom
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Prénom
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Sexe
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Date de naissance
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Groupe d'âge
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Adresse courriel
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Numéro de téléphone
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Quartier
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Je participe aux Pélicans dans le(s) volet(s) :
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Personne à contacter en cas d'urgence
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Numéro de téléphone en cas d'urgence
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Problème de santé
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Allergie
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Champs d'expertise
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Je vais régler ma cotisation annuelle de 10$ en :
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Je suis / Je vais devenir membre de la fédération québécoise d'athlétisme en 2017?
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