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FICHA DE INSCRIPCION GRUPO FAMILIAR
DATOS DEL TITULAR DEL GRUPO FAMILIAR
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CORREO ELECTRONICO
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APELLIDO (EN MAYUSCULA)
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Nombre
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EDAD
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DNI (sin puntos)
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FECHA DE NACIMIENTO
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MM
/
DD
/
YYYY
DOMICILIO REAL
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LOCALIDAD
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TELEFONO
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ACTIVIDAD
TENIS
RUGBY
HOCKEY SOBRE PATINES
HOCKEY SOBRE CESPED
BASQUET FEMENINO
FUTBOL INFANTIL
PATIN ARTISTICO
MAMIS HOCKEY
BASQUET MASCULINO
GIMNASIA FEMENINA
TAEKWONDO
MAS 65
YOGA
FUTBOL ADULTOS
FUTSAL
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OCUPACION
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