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Verdetlón 3+4 2019
Indispensable llevar tu bicicleta, mayores informes en:
http://www.instituto-icaafyd.com/2/
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Nombre Completo
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Edad
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Institución
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Celular
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Delegación o Municipio
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Punto de salida
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Rectoria U de G 6:45 a.m
Ahualulco del Mercado 18km
Etzatlán 30km
Ameca 22km
Tala 14 km
Teuchitlán 15km
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Tipo de sangre
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¿Padece alguna alergia ?
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¿Padece alguna enfermedad?
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Contacto en caso de emergencia (Nombre y numero )
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