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Email
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Your email
Motif de la demande
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Nouvelle licence
Renouvellement licence
Essai
Section
Handball
Pass-D Multisport
Pass-D Renfo-musculaire
Pass-D Loisir (Hand Loisir)
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Nom
du futur(e) licencié(e)
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Nom de naissance du futur(e) licencié(e)
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Prénom
du futur(e) licencié(e)
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Sexe
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Homme
Femme
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Date de naissance
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MM
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DD
/
YYYY
Adresse e-mail
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Adresse
*
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Numéro de téléphone
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Taille pack (section handball)
4 ans
8 ans
12 ans
16 ans
S
M
L
XL
XXL
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