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Bulletin d'inscription à l'OCGIF JUDO 2018/2019
Merci de remplir ce formulaire pour 1 judoka et en majuscules :-)
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Email
*
Your email
Nom
*
Your answer
Prénom du judoka
*
Your answer
Sexe
*
M
F
Date de naissance (JJ/MM/AAAA)
*
Your answer
Adresse
*
Your answer
Code postal
*
Your answer
Ville
*
Your answer
Téléphone
*
Your answer
Nouvel adhérent ?
OUI
NON
Année d'entrée au Club
Your answer
N° de licence
Your answer
Niveau de pratique
*
Loisirs
Compétitions
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