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Ce formulaire permet de vous inscrire au CEC pour la saison 2019-2020
Fields with
*
are mandatory
Type
*
M07
M09
M11-1
M11-2
M13
M15
M17
M20
Sénior
Dirigeant
****
M5 - Eveil
Esc. Cancer du Sein
Esc. Médiévale
Bénévole
Individual
Company
Title
Mrs.
Mr.
Ms.
Master
Doctor
Last name
*
First name
*
Email
*
Gender
Male
Female
Address
Zip Code / City
/
Country
Afghanistan
(AF)
Åland Islands
(AX)
Albania
(AL)
Algeria
(DZ)
American Samoa
(AS)
Andorra
(AD)
Angola
(AO)
Anguilla
(AI)
Antarctica
(AQ)
Antigua and Barbuda
(AG)
Argentina
(AR)
Armenia
(AM)
Aruba
(AW)
Australia
(AU)
Austria
(AT)
Azerbaijan
(AZ)
Bahamas
(BS)
Bahrain
(BH)
Bangladesh
(BD)
Barbados
(BB)
Belarus
(BY)
Belgium
(BE)
Belize
(BZ)
Benin
(BJ)
Bermuda
(BM)
Bhutan
(BT)
Bolivia
(BO)
Bosnia and Herzegovina
(BA)
Botswana
(BW)
Bouvet Island
(BV)
Brazil
(BR)
British Indian Ocean Territory
(IO)
Brunei Darussalam
(BN)
Bulgaria
(BG)
Burkina Faso
(BF)
Burundi
(BI)
Cambodia
(KH)
Cameroon
(CM)
Canada
(CA)
Cape Verde
(CV)
Cayman Islands
(KY)
Central African Republic
(CF)
Chad
(TD)
Chile
(CL)
China
(CN)
Christmas Island
(CX)
Cocos (Keeling) Islands
(CC)
Colombia
(CO)
Comoros
(KM)
Congo
(CG)
Congo, The Democratic Republic of the
(CD)
Cook Islands
(CK)
Costa Rica
(CR)
Croatia
(HR)
Cuba
(CU)
Cyprus
(CY)
Czech Republic
(CZ)
Denmark
(DK)
Djibouti
(DJ)
Dominica
(DM)
Dominican Republic
(DO)
Ecuador
(EC)
Egypt
(EG)
El Salvador
(SV)
Equatorial Guinea
(GQ)
Eritrea
(ER)
Estonia
(EE)
Ethiopia
(ET)
Falkland Islands
(FK)
Faroe Islands
(FO)
Fiji Islands
(FJ)
Finland
(FI)
France
(FR)
French Guiana
(GF)
French Polynesia
(PF)
French Southern Territories
(TF)
Gabon
(GA)
Gambia
(GM)
Georgia
(GE)
Germany
(DE)
Ghana
(GH)
Gibraltar
(GI)
Greece
(GR)
Greenland
(GL)
Grenada
(GD)
Guam
(GU)
Guatemala
(GT)
Guernsey
(GG)
Guinea
(GN)
Guinea-Bissau
(GW)
Haïti
(HT)
Heard Island and McDonald
(HM)
Holy See (Vatican City State)
(VA)
Honduras
(HN)
Hong Kong
(HK)
Hungary
(HU)
Iceland
(IS)
India
(IN)
Indonesia
(ID)
Iran
(IR)
Iraq
(IQ)
Ireland
(IE)
Isle of Man
(IM)
Israel
(IL)
Italy
(IT)
Ivory Coast
(CI)
Jamaica
(JM)
Japan
(JP)
Jersey
(JE)
Jordan
(JO)
Kazakhstan
(KZ)
Kenya
(KE)
Kiribati
(KI)
Kuwait
(KW)
Kyrgyzstan
(KG)
Lao
(LA)
Latvia
(LV)
Lebanon
(LB)
Lesotho
(LS)
Liberia
(LR)
Libyan
(LY)
Liechtenstein
(LI)
Lithuania
(LT)
Luxembourg
(LU)
Macao
(MO)
Macedonia, the former Yugoslav of
(MK)
Madagascar
(MG)
Malawi
(MW)
Malaysia
(MY)
Maldives
(MV)
Mali
(ML)
Malta
(MT)
Marshall Islands
(MH)
Mauritania
(MR)
Mauritius
(MU)
Mayotte
(YT)
Mexico
(MX)
Micronesia
(FM)
Moldova
(MD)
Monaco
(MC)
Mongolia
(MN)
Monserrat
(MS)
Montenegro
(ME)
Morocco
(MA)
Mozambique
(MZ)
Myanmar (Burma)
(MM)
Namibia
(NA)
Nauru
(NR)
Nepal
(NP)
Netherlands
(NL)
Netherlands Antilles
(AN)
New Caledonia
(NC)
New Zealand
(NZ)
Nicaragua
(NI)
Niger
(NE)
Nigeria
(NG)
Niue
(NU)
Norfolk Island
(NF)
North Korea
(KP)
Northern Mariana Islands
(MP)
Norway
(NO)
Oman
(OM)
Pakistan
(PK)
Palau
(PW)
Palestinian Territory, Occupied
(PS)
Panama
(PA)
Papua New Guinea
(PG)
Paraguay
(PY)
Peru
(PE)
Philippines
(PH)
Pitcairn Islands
(PN)
Poland
(PL)
Portugal
(PT)
Puerto Rico
(PR)
Qatar
(QA)
Romania
(RO)
Russia
(RU)
Rwanda
(RW)
Saint Barthelemy
(BL)
Saint Helena
(SH)
Saint Kitts and Nevis
(KN)
Saint Lucia
(LC)
Saint Martin
(MF)
Saint Pierre and Miquelon
(PM)
Saint Vincent and Grenadines
(VC)
Samoa
(WS)
San Marino
(SM)
Sao Tome and Principe
(ST)
Saudi Arabia
(SA)
Senegal
(SN)
Serbia
(RS)
Seychelles
(SC)
Sierra Leone
(SL)
Singapore
(SG)
Slovakia
(SK)
Slovenia
(SI)
Solomon Islands
(SB)
Somalia
(SO)
South Africa
(ZA)
South Georgia and the South Sandwich Islands
(GS)
South Korea
(KR)
Spain
(ES)
Sri Lanka
(LK)
Sudan
(SD)
Suriname
(SR)
Svalbard and Jan Mayen
(SJ)
Swaziland
(SZ)
Sweden
(SE)
Switzerland
(CH)
Syrian
(SY)
Taiwan
(TW)
Tajikistan
(TJ)
Tanzania
(TZ)
Thailand
(TH)
Timor-Leste
(TL)
Togo
(TG)
Tokelau
(TK)
Tonga
(TO)
Trinidad and Tobago
(TT)
Tunisia
(TN)
Turkey
(TR)
Turkmenistan
(TM)
Turks and Caicos Islands
(TC)
Tuvalu
(TV)
Uganda
(UG)
Ukraine
(UA)
United Arab Emirates
(AE)
United Kingdom
(GB)
United States
(US)
United States Minor Outlying Islands
(UM)
Uruguay
(UY)
Uzbekistan
(UZ)
Vanuatu
(VU)
Venezuela
(VE)
Viet Nam
(VN)
Virgin Islands, British
(VG)
Virgin Islands, U.S.
(VI)
Wallis and Futuna
(WF)
Western Sahara
(EH)
Yemen
(YE)
Zambia
(ZM)
Zimbabwe
(ZW)
State/Province
Date of birth
URL of photo/logo
Information is public
Code postal et ville de naissance
*
Pays de naissance
*
E-mail secondaire
Téléphone 1
*
Téléphone 2
Téléphone 3
Nom de la mère
Nom du père
Licence
*
Option P
Option 0
Option +
Certificat médical
Attestation QSSport
Autorisation parentale médicale
Autorisation parentale droit à l'image
Cotisation calculée
€
Dossier 23-24 complet
Réglement cotisation
Complet
Partiel
Non effectué
Observation réglement
Commande licence FFE
Fil(s) de corps
Numéro veste
Numéro pantalon
Numéro sous-cuirasse
Numéro bustier
Numéro masque
Chèque de caution banque / numéro / émetteur
Restitution tenue
Comments
