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  • FICHA DE INSCRIPCIÓN - Jovenesa

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    FICHA DE INSCRIPCIÓN - -jovenesa

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    13 views2 pages

    FICHA DE INSCRIPCIÓN - Jovenesa

    Uploaded by

    nicotoma

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    FICHA DE INSCRIPCIÓN

    Campamento : Venciendo Gigantes


    Jóvenes Adultos - Matrimonios Jóvenes
    17 al 20 de enero de 2010

    Nombre : ________________________________________________
    Fono fijo : ________________________________________________
    Celular : _________________________________________________
    Mail : ___________________________________________________
    Edad:________(Menores de 18 años deben adjuntar
    Autorización).
    Nombre de Contacto: _______________________________________
    Teléfono de Contacto: ______________________________________
    Iglesia: Cordillera__ Otro: ___________________________________
    Enfermedad o Alergia: ___ Especificar:
    ________________________
    Medicamentos: ____________________________________________

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