PAIRES Lausanne - Questionnaire Parrains et Marraines
* Required
Email address
*
Your email
Nom
*
Your answer
Prénom
*
Your answer
Numéro de téléphone (portable)
*
Your answer
Age
*
Your answer
Nationalité
*
Your answer
Langue parlée
*
Your answer
Profession / Formation
*
Si étudiant, indiqué la faculté
Your answer
Domicile
*
Your answer
État civil
*
Your answer
Avez-vous des enfants? Si oui, combien?
*
Your answer
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