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Inscripció voleibol extraescolar 2011-2012 (Escola del Pi)
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Nom i cognoms pare i/o mare
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Your answer
Correu electrònic
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Your answer
Telèfon1
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Telèfon2
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Nom alumne
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Your answer
Cognom1
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Your answer
Cognom2
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DNI (alumne)
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Data naixement
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Sexe
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Femení
Masculí
Adreça
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Població
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CP
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Nº de CIP (tarja sanitària: 4 lletres i 10 números)
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Correu electrònic (alumne)
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Autoritzo al meu fill/a a fer l'activitat de voleibol extraescolar a l'Escola del Pi
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Sí
No
Tipus de pagament
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Anual (145 €)
Trimestral (50 € per trimestre)
Forma de pagament
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Ingrés bancari al nº de compte corrent: “La Caixa” 2100-1684-61-0200093689
En efectiu a l'Escola del Pi (Vanessa o Secretaria de l'Escola)
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