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CURSO DE CAPOEIRA - FICHA DE MATRÍCULA - 2022
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HORÁRIO: SEGUNDA E QUARTA-FEIRA
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9:00 ÀS 10:00
10:00 ÀS 11:00
14:00 ÀS 15:00
16:00 ÀS 17:00
NOME
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DATA DE NASCIMENTO
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MM
/
DD
/
YYYY
ENDEREÇO
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CELULAR
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TELEFONE FIXO
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TELEFONE DE CONTATO
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E-MAIL / FACEBOOK
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PREENCHER CASO O CURSISTA SEJA MENOR
FILIAÇÃO
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OBSERVAÇÃO
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DIREITO DE IMAGEM
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AUTORIZO
NÃO AUTORIZO
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