Partner market / Marché des partenaires d'équipe "Alps Epic in Hautes-Alpes / France"
2 to 8 of July 2018 /////// 2 au 8 Juillet 2018
Surname / Nom
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First Name / Prénom
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Email
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Email (validate) / Email (confirmation)
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Nationality / Nationalité
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Birthday / Date de naissance
MM
/
DD
/
YYYY
Sex / Sexe
Adress / Adresse
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Additional address / Complément d'adresse
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ZIP - Postal code / Code Postal
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City / Ville
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Country / Pays
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Mobile Phone number / Numéro de Tel mobile
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License Number / Numéro de Licence
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Club
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Fédération
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Surname / Nom
In case of emergency / En cas d'urgence
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First Name / Prénom
In case of emergency / En cas d'urgence
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Mobile Phone number / Numéro de Tel mobile
In case of emergency / En cas d'urgence
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Physical level / Niveau physique
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Technical level / Niveau technique
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Palmarès sportif / Main Results
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Goal on Alps Epic / Objectif sur l'Alps Epic
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Message :
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I'm agree to publish these datas on Alps Epic website / J'accepte de publier ces données sur le site Alps Epic
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