Club de judo Kyo Shi Do Kan de Laval - Affiliation sportive

Affiliation sportive | Jeunes

Parent/Tuteur

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Vous recevrez la facture par courriel.

First name *

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Email *

Mobile

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Numéro de téléphone principal *

Quelle est l'année de naissance du participant ? *

2022 ou après 2019, 2020 ou 2021 2017 ou 2018 2015 ou 2016 2013 ou 2014 2011 ou 2012 2009 ou 2010

Affiliation Judo Québec & Judo Canada 2025-2026 - U5

$37

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2022.

Affiliation Judo Québec & Judo Canada 2025-2026 - U8

$44

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2019. Born before or on December 31, 2021.

Affiliation Judo Québec & Judo Canada 2025-2026 - U10

$48

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2017. Born before or on December 31, 2018.

Affiliation Judo Québec & Judo Canada 2025-2026 - U12

$78

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2015. Born before or on December 31, 2016.

Affiliation Judo Québec & Judo Canada 2025-2026 - U14

$78

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2013. Born before or on December 31, 2014.

Affiliation Judo Québec & Judo Canada 2025-2026 - U16

$104

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2011. Born before or on December 31, 2012.

Ceinture noire *

Oui Non

Affiliation Judo Québec & Judo Canada 2025-2026 - U18

$104

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2009. Born before or on December 31, 2010.

Affiliation Judo Québec & Judo Canada 2025-2026 - Ceinture noire U18

$114

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Participant

First name *

Last name *

Gender *

Date of birth *

Born on or after January 1, 2009. Born before or on December 31, 2010.

Consentement partage données personnelles - Judo QC_2024

J'ai lu et j'accepte *

Signature électronique*

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