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Subscription form

Id Empresa

177

Welcome to the club

RAK NUUA MUAY THAI CLUB

Student Data
Tutor
Sports data
Training days
Pickup Service
Economic Data
Acceptance conditions
Photo

Name

Surnames

Date of Birth

Gender

MASCULINO FEMENINO OTROS

D.N.I./RUT

Health card

Phone

E-mail

Country

Province

Town/Municipate

Address

Postal code

Name tutor/a 1

Tutor’s name 2

Telephone tutor 1

Telephone Tutor 2

Email Tutor 1

Email Tutor 2

Dni

Medical Data

Discipline

Cuota Actividad

H M

Sí No

H T

Sí No

H W

Sí No

H T

Sí No

H F

Sí No

H S

Sí No

H S

Sí No

Pick-up Service

R M

R T

R W

R T

R F

R S

R S

Pick-up point

Payment method

Account holder

Conditions Club

To be able to mark, read the conditions.

Ver condiciones club

Authorize Commercial Shipments

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Ver condiciones privacidad

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