Accompagnateur JO Stage National

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Accompagnateur JO Stage National

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Email *

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NOM *

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Prénom *

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Téléphone portable accompagnateur *

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Mail Accompagnateur *

Option 1

Sport concerné *

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Basket

Football

Futsal

Handball

Rugby

Volley

Athlétisme

Badminton

Gymnastique Artistique

Gymnastique Rythmique

Judo

Tennis de table

Souhaite être hébergé sur place *

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Oui

Non

Nom établissement *

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Ville établissement *

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Région établissement *

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Mail établissement *

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Remarques particulières *

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