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KUD Putalj
Upisnica KUD Putalj
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Ako imate kronične bolesti i alergije navedite koje su to:
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Kontakt broj:
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Kronične bolesti i alergije/ potreba redovitog uzimanja lijekova:
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Da
Ne
Grupa:
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Dječja folklorna skupina
Prvi ansambl
Škola gitare
Škola mandoline
ŽVS Kaštelanke
Orkestar
Spol:
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Muško
Žensko
Other:
Datum rođenja:
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MM
/
DD
/
YYYY
Upisi
Ime i prezime:
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Ime i prezime roditelja/skrbnika:
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Adresa:
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E-mail adresa:
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OIB:
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Fotografije i video snimke nastupa djece možemo koristiti isključivo u promotivne svrhe:
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Da
Ne
Zanimanje:
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