Prihláška na kurz PŠL - TRANSITION

Bez názvu

OSOBNÉ INFORMÁCIE

Meno

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Priezvisko

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E-mail

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Telefón

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Dátum narodenia

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KONTAKTNÁ ADRESA

Ulica, č.

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Mesto

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PSČ

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ADRESA TRVALÉHO BYDLISKA

Ulica, č.

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Mesto

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PSČ

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ĎALŠIE INFORMÁCIE

Stav

neuvedený
slobodný s partnerem
slobodný bez partnera
ženatý

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Zamestnanie

študent
zamestnanec
iné

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Popis zamestnania/štúdia

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Prípadné zdravotné problémy *

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Plavec

neplavec
zaplávam max 50 m
zaplávam 100 m
zaplávam 500 m

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O Transition som sa dozvedel

z webu
z facebooku
cez osobné doporučenie
z iného zdroja

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RODIČIA

Meno otca

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Telefón

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E-mail

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MENO MATKY

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Telefón

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E-mail

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PÁR OTÁZOK OD TÍMU

Čo je tvojou hlavnou motiváciou prihlásenia sa na kurz Transition?

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Čo pre teba znamená byť Mužom?

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Ktorého dospelého muža vo svojom okolí si vážiš a prečo?

Mal by si ho osobne poznať a nemal by to byť tvoj otec

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Čo by si chcel, aby sa za rok zmenilo v tvojom živote?

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Je ešte niečo, čo by si chcel odkázať tímu?

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