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formulario club leones de patinaje
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APELLIDOS
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NOMBRE
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FECHA DE NACIMIENTO
MM
/
DD
/
YYYY
DOCUMENTO DE IDENTIDAD
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TIPO DE DOCUMENTO
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CC
TI
RC
CE
CELULAR #
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TELÉFONO FIJO #
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COLEGIO Y GRADO QUE CURSA
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CORREO ELECTRONICO
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TELEFONO DEL TRABAJO
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NOMBRE DE LA MADRE
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PROFESIÓN
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NOMBRE DEL PADRE
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PROFESIÓN
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META DEPORTIVA
COMPETITIVO
RECREATIVO
CORREO DE LA MADRE
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CORREO DEL PADRE
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NUMERO DE MATRICULA (LIBRETA)
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