ficha de inscrição do acampamento do dia 05 a 07 de setembro de 2014
Autor: marinhorsilva | Publicado: 2014-07-03T20:09:00-07:00







FICHA
DE INSCRIÇÃO

Acampamento
de jovens em Cáceres MT

05
-6 e 07 de Setembro de 2014 

Identificação
pessoal:

1-Nome:.......................................................................................................

&nbsp;Sexo F (&nbsp;
)&nbsp;&nbsp;&nbsp; M (&nbsp; )&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; data de nascimento
____/____/____

Endereço: Rua............................................Número........................


Bairro:...........................Cidade:.....................................CEP:..........................


Tel. Residencial:
(&nbsp; ) ................&nbsp;&nbsp; Cel.(&nbsp;
).............

E-mail: ............................................................

Nível de
escolaridade__________________________________

Profissão
_______________________

   

    <!--[endif]-->
    
    
Se tiver barracas ou rede pode
    trazer.



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----------------------------------------------------------------------------------------------------------

COMPROVANTE
DE INSCRIÇÃO&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 

Nome__________________________________________________

Valor________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Data________/_______/________

_____________________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
______________________

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Inscrito&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Resp. P/
inscrição---------------

&nbsp;Obs.: em caso de desistência não haverá
devolução do valor pago.