FAN
WORLD
SKATE
CHAMPIONSHIPS AGREEMENT
Acknowledgment and Agreement
First and LastName Dara acexAnoed TATE)
Date of birth Ys _9)- 2003
Country/Federation Ronan A
Federation Contact Email Sr patinay ZOD qmail. com
National Anti-Doping Agency
Athlete Postal Address via GiogeionE NS IAT S -LOCEGGLACED) ~ 1MAUA
Athlete Email daridlexandra 2oo3 Dg mail.com
Discipline goristic RouKR SKATING
Athlete’s Coach
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