FICHA DE INSCRIÇÃO 1º CLIC CAÍ CONCURSO FOTOGRÁFICO
DADOS PESSOAIS Nome Completo: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sexo: (IIII) Feminino (IIII) Masculino Data de Nascimento: IIII / IIII / II IIII II Naturalidade: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Religião: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Profissão: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Endereço: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Bairro: IIIIIIIIIIIIIIIIIIIIIIIIIIIII Cidade: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII UF: IIIIIIII CEP: IIIIIIIIIIIIIIIIIIIIII Fone Residencial: IIIIIIIIIIIIIIIIIIIIIIIIIII Celular: IIIIIIIIIIIIIIIIIIIIIIIIIII E-mail: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII RG: IIIIIIIIIIIIIIIIIIIIIIIIIIII Órgão Expedidor: IIIIIIIIII CPF: IIIIIIIIIIIIIIIIIIIIIIIIIIII Certidão de Nascimento: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DADOS DAS FOTOS Data / Local
Titulo:
1 2 3 4 5 Declaro que li na íntegra o Regulamento do 1º Clic Caí, estou ciente do tema “Qualidade de vida e Meio ambiente” e estou de acordo com todas as normas estabelecidas.
X Responsável
Grupo Escoteiro Taquató Parque Centenário | S/N° | Vila Rica | 95760-000 São Sebastião do Caí | RS | Brasil taquato@gmail.com | taquato.blogspot.com