MODELO DE FICHA DE INSCRIÇÃO DE ATLETA

Nome: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Apelido: _________________________________________________________________________________________________________________________________________________________________________________________

Nacionalidade: _______________________________________________________________________________________________
Natural de: _____________________________________________________________________________________________________________________________________
Data de Nascimento: _________________________________________________________________________________________________________________________

Filiação: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Residência: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Telefone: _______________________________________________________________________________________________________________________________
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Cidade: _____________________________________________________________________________________________________________________________________________________________________________________________________
UF: ______________________________________________________________________
e-mail: ___________________________________________________________________________________________________________________________________________________________________________________________________________

Cart. De Identidade: _______________________________________________________________________________________________________________________________________________________________

Título Eleitor: Zona: Seção:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Data da solicitação da Inscrição: ____________________________________________________________________________

Assinatura do Atleta: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ANO DATA CLUBE LIGA Cart. Nº Condições

O atleta signatário declara, sob as penas da lei, que todas as informações e dados aqui consignados expressam a verdade.