INSCRIPTION EXAMEN MONITORAT 2022

Dimanche 15 Mai 2022
Examen ouvert à tous les licenciés ayant validé les UC1 - UC2 et UC3

Nom du club

Code Postal du club

Ville du club

votre Nom

Votre Prénom

N° de téléphone

Date de naissance

N° de Licence

Adresse

Code Postal

Ville

Qualification

Savate Boxe Française Savate Forme

Avez vous participé à la formation UC2 organisée par la ligue NA en 2022

oui non

Nous collectons ces données afin de gérer votre demande

J'accepte que la Ligue Nouvelle Aquitaine de Boxe Française collecte mes données et me réponde par courriel.

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Dimanche 15 Mai 2022Examen ouvert à tous les licenciés ayant validé les UC1 - UC2 et UC3

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Dimanche 15 Mai 2022
Examen ouvert à tous les licenciés ayant validé les UC1 - UC2 et UC3