Formular de inscriere Tabara Pun' te cu Tata 2019
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Numele tatalui *
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Prenumele tatalui *
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Data nașterii *
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DD
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Localitatea *
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Adresa *
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Mobil *
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Telefon in caz de urgenta (altul decat telefonul mobil propriu) *
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Nume si Prenume copil 1 *
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Data nasterii copil 1 *
MM
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DD
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YYYY
Nume si Prenume copil 2
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Data nasterii copil 2
MM
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DD
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YYYY
Nume si Prenume copil 3
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Data nasterii copil 3
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Observatii (tratamente si/sau probleme medicale copii) *
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