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TALLER DANZA + TEATRO ADULTOS
TALLER DE DANZA CONTEMPORÁNEA ESCUELA MUNICIPAL DE MÚSICA
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NOMBRE Y APELLIDOS
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FECHA DE NACIMIENTO
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MM
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DD
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YYYY
NOMBRE Y APELLIDOS DEL TUTOR/A, SI ES MENOR DE EDAD
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TELÉFONO DE CONTACTO
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CORREO ELECTRÓNICO
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IBAN BANCARIO PARA EL COBRO DE LA INSCRIPCIÓN
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NOMBRE Y APELLIDOS DEL TITULAR DE LA CUENTA BANCARIA
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D.N.I DEL TITULAR DE LA CUENTA BANCARIA
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DOY MI CONSENTIMIENTO PARA EL COBRO DE LA INSCRIPCIÓN
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