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Formulario Inscripción Campeonato Sede Quillón
2° Campeonato Nacional Menores y Cadetes Quillón 2024
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Nombres
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Your answer
Apellidos
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Your answer
Género
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Masculino
Femenino
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RUT (formato XX.XXX.XXX-X)
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Your answer
Fecha de Nacimiento
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MM
/
DD
/
YYYY
N° Pasaporte
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Your answer
Fecha de Emisión de Pasaporte
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MM
/
DD
/
YYYY
Fecha de Expiración de Pasaporte
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MM
/
DD
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YYYY
Nacionalidad
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Your answer
Lugar de Nacimiento
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Your answer
Grupo Sanguíneo
*
AB+
AB-
A+
A-
B+
B-
O+
O-
Required
Teléfono Personal (formato +56x xxxx xxxx)
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Dirección Particular
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Estatura (Formato X,XX)
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Peso (Formato X,XX)
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Talla Indumentaria Deportiva
XS
S
M
L
XL
XXL
XXXL
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Nombre Completo Padre
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Nombre Completo Madre
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Contacto Apoderado (formato +56X XXXX XXXX)
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