Confederação Brasileira de Futsal

Fundada em 15 de Junho de 1979

FUTSAL - Esporte genuinamente brasileiro

FICHA DE INSCRIÇÃO DE ATLETA Inscr. Nº ________________

Nome: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Apelido: _________________________________________________________________________________________________________________________________________________________________________________________

Nacionalidade: _______________________________________________________________________________________________
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Data de Nascimento: _________________________________________________________________________________________________________________________

Filiação: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Residência: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Telefone: _______________________________________________________________________________________________________________________________
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Cidade: _____________________________________________________________________________________________________________________________________________________________________________________________________
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Cart. De Identidade: _______________________________________________________________________________________________________________________________________________________________

CPF: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Data da solicitação da Inscrição: ____________________________________________________________________________

Assinatura do Atleta: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ANO DATA CLUBE FEDERAÇÃO Cart. Nº Condições

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