[ Galette ]

Subscription

JADE : Judo Associatif D'Etampes

NB : The mandatory fields are in red

Identity:

Gender:

(yyyy-mm-dd format)

Contact information:


Galette-related data:

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.

(at least 2 characters)

Password image Please repeat in the field the password shown in the image.


Additionnal fields:

certificat (taille maxi 1000Ko) (not translated)

Droit à l'image (taille maxi 1000 Ko) (not translated)

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