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egate-jeune-mulhouse
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egate-jeune-mulhouse
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Registration
form
Person in charge
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First name
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Last name
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E-mail adress
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Name of your club
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Country
Race nยฐ1 [K1/C1 mixed relay on 500 metres]
Type :
Canoe
Kayak
Category :
U14
U16
U18
Man 1 - First & last name
Woman 1 - First & last name
Race nยฐ2 [K2/C2 race on 200 metres straight]
Type :
Canoe
Kayak
Category :
U14
U16
U18
Man or Woman 1 - First & last name
Man or Woman 1 - First & last name
Race nยฐ3 [K4/C4 mixed race on 750 metres]
Type :
Canoe
Kayak
Category :
U14
U16
U18
Man 1 - First & last name
Man 2 - First & last name
Woman 1 - First & last name
Woman 2 - First & last name
Race nยฐ4 [2 x K2/C2 mixed race on 750 metres]
Type :
Canoe
Kayak
Category :
U14
U16
U18
Man 1 - First & last name
Woman 1 - First & last name
Man 2 - First & last name
Woman 2 - First & last name
* Champ obligatoire
donnรฉes prรฉcรฉdentes
m'adresser une copie
envoyer
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