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INSCRIPTION STAGE "OPEN" - NOUVEL AN UBW 2025
Formulaire pour inscription au stage - Veuillez remplir tous les champs
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* Indicates required question
Email
*
Your email
Infos stage
*
Option 1
Prénom de l'enfant
*
Your answer
Nom de l'enfant
*
Your answer
Date de Naissance
*
MM
/
DD
/
YYYY
Club d'appartenance
*
UBW
AUTRE
Required
Catégorie (ex U14)
*
U8 (2017 seulement)
U10 (2015-2016)
U12 (2013-2014)
U14 (2011-2012)
U16 (2009-2010)
Required
Adresse mail parent
*
Your answer
Nom Parent
*
Your answer
Prénom Parent
*
Your answer
Numéro de téléphone parents
*
Your answer
Taille cadeau de fin de stage
*
Choose
10 ans
12 ans
S (Adulte)
M (Adulte)
L (Adulte)
XL (Adulte)
XXL (Adulte)
Mode de paiement
*
Je paierai en liquide le premier jour de stage
Je réalise immédiatement le paiement sur le compte stage du club de United Basket Woluwe IBAN BE54 7360 3308 0397
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