| Licence no |
Civilite |
Nom |
Prenom |
Ddn |
Nationalite |
Pays naissance |
Telephone |
Mobile |
Mail |
Mail pro |
Adresse |
Code postal |
Commune |
Categorie age sportif |
Date demande |
Type certificat |
Date debut certificat |
Nom responsable legal |
Prenom responsable legal |
Tel responsable legal |
Mail responsable legal |
Nom responsable legal 2 |
Prenom responsable legal 2 |
Tel responsable legal 2 |
Mail responsable legal 2 |
Handicap |
|
|
Mme |
HEBERT |
Judith |
mars 10, 1970 |
— |
— |
04 50 20 38 07 |
06 08 11 39 81 |
heb.jaju@orange.fr |
— |
68 Passage DE SOUS LA VOIE |
01220 |
Grilly |
Sénior A |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
|
|
M |
VANDINI |
Zacharie |
avril 16, 1997 |
— |
— |
00412 27 76 25 84 |
00417 96 29 14 18 |
zvandini@bluewin.ch |
vandini@bluewin.ch |
5D Rue MALCROISSANT |
01295 |
Tannay |
J |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
|
|
M |
GUIRAMAND |
Lucas |
janvier 12, 1998 |
— |
— |
04 50 42 73 45 |
06 52 15 22 36 |
lucas.guiramand@gmail.com |
mg@marylineguiramand.com |
24 Rue DE GENEVE |
01210 |
Ferney voltaire |
C |
— |
— |
décembre 2, 2013 |
— |
— |
— |
— |
— |
— |
— |
— |
Non |
|
|
M |
IANKOV |
Samuel |
mars 22, 1999 |
— |
— |
04 50 99 25 33 |
07 81 70 04 38 |
sudershansood@hotmail.com |
— |
151 Route DU NANT |
01280 |
Prevessin moens |
C |
— |
— |
mars 28, 2014 |
— |
— |
— |
— |
— |
— |
— |
— |
Non |
|
|
Mme |
VIEIRA QUINTAS NEVES |
Delfina |
novembre 13, 1978 |
— |
— |
07 81 22 00 93 |
06 52 05 76 62 |
delfinageo@gmail.com |
delfina.vieira.quintas.neves@cern.ch |
115 Rue DU JURA |
01170 |
Crozet |
Sénior A |
— |
— |
mai 14, 2014 |
— |
— |
— |
— |
— |
— |
— |
— |
— |
|
|
Mme |
CHAPPAZ |
Anne-marie |
— |
— |
— |
04 50 20 10 04 |
07 87 02 41 92 |
amchappaz@free.fr |
— |
95 Rue RENE VIDART |
01220 |
Divonne les bains |
Sénior A |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
|
|
M |
TANKOV |
Philippe |
octobre 11, 1998 |
— |
— |
04 50 42 37 19 |
00417 96 63 43 94 |
etankov49@gmail.com |
— |
88 Rue VICTOR HUGO |
01210 |
Ferney voltaire |
C |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
Non |
|
|
M |
FIVET |
Philippe |
février 21, 1966 |
— |
— |
06 07 69 37 12 |
— |
philippefivet@yahoo.fr |
— |
81 Rue VICTOR HUGO |
69330 |
Meyzieu |
Sénior A |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
|
|
M |
KOPP |
Michel-henry |
— |
— |
— |
04 50 41 59 40 |
06 09 94 36 90 |
michel.kopp14@gmail.com |
michel@mm-kopp.com |
35 LES ROCHES |
01220 |
Sauverny |
Sénior A |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
Non |
|
|
M |
PIZZUTO |
Matteo |
mai 24, 2002 |
— |
— |
04 50 20 28 27 |
07 71 03 40 02 |
vincent.pizzato@wanadoo.fr |
— |
155 Rue ETIENNE DEPREZ |
01220 |
Divonne les bains |
B |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
— |
Non |
