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Email
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Your email
Nom
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Your answer
Prénom
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Your answer
Sexe
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M
F
Date de Naissance
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MM
/
DD
/
YYYY
Nationalité
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Your answer
Téléphone portable
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Your answer
Téléphone d'un des parents pour les mineurs
Your answer
Adresse
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Your answer
Adresse suite
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Code postal
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Your answer
Ville
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Your answer
Groupe entrainement
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Sprint,Saut, Lancer (Compétition)
Sprint,Saut, Lancer (Entrainement)
Demi-Fond (Pascal)
Fond, Route, Trail (Véronique et Danièle)
Athlé Santé / Marche Nordique
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