Lec Savate Limoges : SAVATE BOXE FRANÇAISE & DISCIPLINES ASSOCIÉES LIMOGES
NB : The mandatory fields are in red
Title: Not supplied M. Mme.
Name:
First name:
Birth date: (yyyy-mm-dd format)
Birthplace:
Profession:
Address: Address (continuation)
Zip Code:
City:
Phone:
Mobile phone:
E-Mail:
Be visible in the members list: If you check this box (and if you are up to date with your contributions), your full name, website address ad other informations will be publically visible on the members list.If you've uploaded a photo, it will be displayed on the trombinoscope page.Note that administrators can disabled public pages, this setting will have no effect in that case.
Username: (at least 2 characters)
Password: A link will be sent to you if you have provided an email address. Otherwise, you can use this password to login, and we recommend you to change it as soon as possible. Please repeat in the field the password shown in the image.
I want to practice Select an option Savate Boxe Française Savate Bâton défense (16ans minimum) Les deux disciplines
My level Select an option Débutant Gant-savate bleu Gant-savate vert Gant-savate rouge Gant-savate blanc Gant-savate jaune Gant d'argent Technique ou Gant de Bronze
I knew the club by ... Select an option Site web du club Site web de la Fédération Un ami Presse / Radio / TV Plaquette du Club Démonstration
Mon numéro de licence
School
Name of parent
Allow my son/daughter to practice the Savate Boxe Française and D.A. for the current season
In the event of an incident, please contact me at (phone)
Acceptation conditions LEC SAVATE