Ficha de Cadastro de Aluno

Nome:___________________________________________________________

End.: _________________________________________nº________ Apto_____

Bairro:____________________Cidade______________________Estado______

Cep_________-______ Data de Nasc. ___/___/____ Fone:_________________

Celular: ___________________ Comeracial:_______________Ramal:________

Natural de __________________ Est._____ Academia:____________________

CPF: _____________________ RG: ____________________-______________

e-mail:____________________________________________________________________________ Modalidade:

Full Contact Low kick’s K1 Rules Light Contact Semi Contact Musical Forms

Graduação:

Branca Amarela Laranja Verde Azul Marrom

Títulos / Participações: _________________________________________________________________________________

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Professor: _______________________________________ Data de registro: _____/_____/________

__________________________ _________________________ _______________________ Assinatura do Aluno Assinatura do Professor Assinatura do Presidente