Intressanmälan, Halmstad klätterklubb: Barn och Ungdom
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Målsman *
Ex. Anders Andersson
Barn alt. Ungdom *
Ex. Andrea Andersson
Födelsedatum (ej fyra sista) *
Ex. 20050520
Telefonnummer *
Ex. 073-111 22 33
Sjukdomar/Allergier
Astma,diabetes/laktos,gluten
Övrigt
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