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Ce formulaire permet de vous inscrire au CEC pour la saison 2016-2017
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Dirigeant
Eveil M5
M07
M09
M11-1
M11-2
M13
M15
M17
M20
Sénior
Physical
Title
Mrs.
Mr.
Ms.
Master
Doctor
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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
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€
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Non effectué
Observation réglement
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Numéro pantalon
Numéro sous-cuirasse
Chèque de caution banque / numéro / émetteur
Restitution tenue
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