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INSCRIPTION RUGBY 2025/2026
INFORMATIONS SUR LE LICENCIE
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RC Thierrypontain
NOM D'USAGE
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NOM DE NAISSANCE
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PRÉNOM
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PRÉNOM 2
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PRÉNOM 3
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NOM ET PRÉNOM DU REPRÉSENTANT LÉGAL
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SEXE
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NATIONALITÉ
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DATE DE NAISSANCE
MM
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DD
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YYYY
PAYS DE NAISSANCE
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VILLE DE NAISSANCE
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TÉLÉPHONE
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ADRESSE MAIL
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