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Charla de padres
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Nombre:
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Apellido:
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DNI:
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E-mail:
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Teléfono de línea o celular
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¿Qué edad tiene la persona por la cual Ud. desea participar del Taller de Padre?
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¿Cómo te enteraste de esta actividad?
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Amigos o familiares
Terapeutas
Localidad
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