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GUERNSEY
Iceland
Handicap
*
Ecole fréquentée
*
Nom du parent *, du tuteur *, du responsable * signataire si enfant mineur
*
GSM Parent 1
*
-
+1
+7
+20
+27
+30
+31
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e-mail Parent 1
*
Déclaration 1
*
Je déclare que l’enfant mineur est autorisé par son médecin à suivre la formation Hockey together et demande à l’y inscrire. Ma
Déclaration 2
*
Je (majeur) déclare être autorisé(e) par son médecin à suivre la formation Hockey together et demande à s’y inscrire. Ma déclara
Personne à prévenir en cas de problème
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Remarque / commentaire
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