INSCRIPTION SAISON 2017/2018
Email address *
NOM DE L'ENFANT *
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PRENOM DE L' ENFANT *
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DATE DE NAISSANCE *
MM
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DD
/
YYYY
ANNEE DE NAISSANCE *
ADRESSE *
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*
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CODE POSTAL *
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LOCALITE *
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PRENOM TITULAIRE *
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NOM TITULAIRE *
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GSM 1 *
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GSM 2
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