Real Betis Academy International Miami

Real Betis academy Miami

location

Miami, Estados Unidos

Juan Romero

phone

(+1) 7863719919 7863686848

realbetisacademimiami@mail.com

register

DETAILS OF THE MOTHER, FATHER OR GUARDIAN

Name

First Surname

Second Surname

DNI

Phone

Mobile phone

AUTHORIZED PERSONS

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Second Surname

DNI

Emergency contact name

Emergency contact telephone number

PLAYER DETAILS

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Second Surname

date of birth

Province

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Do you suffer from any allergies?

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Do you play for any team?

Yes No

Are you federated?

Yes No

Medical care

Social Security Private Insurance

No. Social security

No. Private insurance

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