FICHA DE INSCRIÇÃO PARA O CURSO COLETIVO DA JUVENTUDE
Autor: COLETIVO DA JUVENTUDE DO ALTO SERTÃO SERGIPANO | Publicado: 2011-10-18T18:10:00-07:00

                                                  FICHA DE ISNCRIÇÃO

      
NOME:_________________________________________________________________________________________
DATA DE NASCIMENTO: ____ / ____ /_____&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;MUNICÍPIO,   COMUNIDADE...:___________________________
&nbsp;_______________________________________________________________________________________________
GRUPO OU MOVIMENTO:   _________________________________________________________________________
E-MAIL: ________________________________________________________________________________________
TELEFONE:_____________________________________________________________________________________
  
   &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; Coletivo da Juventude Campo e Cidade&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; Território do Alto Sertão de Sergipe
FICHA DE INSCRIÇÃO
      
NOME:________________________________________________________________________________________
DATA DE NASCIMENTO: ____ / ____ /_____&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;MUNICÍPIO,   COMUNIDADE...:___________________________
&nbsp;_______________________________________________________________________________________________
GRUPO&nbsp; OU MOVIMENTO:   _________________________________________________________________________
E-MAIL:   ________________________________________________________________________________________
TELEFONE:_____________________________________________________________________________________
  
   &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; Coletivo da Juventude Campo e Cidade&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; Território do Alto Sertão de SergipeFICHA DE INSCRIÇÃO
      
NOME:_________________________________________________________
DATA DE NASCIMENTO: ____ / ____ /_____&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;MUNICÍPIO,   COMUNIDADE...:___________________________
&nbsp;_______________________________________________________________________________________________
GRUPO OU MOVIMENTO: _________________________________________________________________________
E-MAIL:   ________________________________________________________________________________________
TELEFONE:_____________________________________________________________________________________