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Registro de Inscripción Verano Deportivo Vikingo
Facultad de Ciencias de la Cultura Física
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NOMBRE
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APELLIDOS
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FECHA DE NACIMIENTO
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CURP
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EDAD
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SERVICIO MÉDICO
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SEXO
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TALLA DE PLAYERA
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SERVICIO MEDICO
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TELÉFONO 1 EN CASO DE
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TELÉFONO 2 EN CASO DE
EMERGENCIA
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NOMBRE COMPLETO DE PADRE, MADRE O TUTOR
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CORREO ELECTRÓNICO
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ALERGIA ALGÚN MEDICAMENTO
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Opción 1
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FOLIO DE PAGO
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