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Aanmeld Formulier Bevers
Scouting Charlois Rotterdam
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Achternaam
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Voornaam
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Geboortedatum
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Roepnaam
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Geboorteplaats
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Adres
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Postcode
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Telefoonnummer:
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Woonplaats
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email
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Naam Ouders / verzorgers
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Telefoonnr Vader
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Telefoonnr Moeder
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Beroep Ouders / verzorgers
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Bijzonderheden van het Kind
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