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ISCRIZIONI

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1 Step 1

INFORMAZIONI GENERALI

Sesso :

FemminaMaschio

Cognome :

Nome :

Data di nascita :

Indirizzo :

Cod. postale :

Località :

Telefono :

Sei assicurato presso Helsana?

SiNo

I partecipanti assicurati presso Helsana riceveranno un buono regalo Coop del valore di 30.-

Telefono in caso di urgenza :

Email :

Kit

Ruolo :

PortiereGiocatore

Taglia (altezza in cm) :

Nome sulla maglia :

Numero sulla maglia :

Note

Allergie / Altro :

0 /

Condizioni generali

FormCraft – WordPress form builder

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