FORMULARIO FICHA MÉDICA
La presente ficha médica habilita a participar de la Súper Liga Futsal.
Dejo constancia que los datos informados son ciertos y asumo la responsabilidad de los mismos en concepto de declaración jurada
Dejo constancia que los datos informados son ciertos y asumo la responsabilidad de los mismos en concepto de declaración jurada
| A | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Cervantes | 3 | 1 | 1 | 0 | 0 |
| El Fortin | 3 | 1 | 1 | 0 | 0 |
| Nueva Chicago | 3 | 1 | 1 | 0 | 0 |
| Sportivo Ezeiza | 3 | 1 | 1 | 0 | 0 |
| Ituzaingo | 1 | 1 | 0 | 1 | 0 |
| Libertadores | 1 | 1 | 0 | 1 | 0 |
| Almagro Jr | 0 | 1 | 0 | 0 | 1 |
| Pacheco Juniors | 0 | 1 | 0 | 0 | 1 |
| Balvanera FC | 0 | 1 | 0 | 0 | 1 |
| Peñarol | 0 | 1 | 0 | 0 | 1 |
| Club Amistad | 0 | 1 | 0 | 0 | 1 |
| Zona A | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Nueva Era | 3 | 1 | 1 | 0 | 0 |
| Pinocho | 3 | 1 | 1 | 0 | 0 |
| Villa Estruga | 0 | 1 | 0 | 0 | 1 |
| All Boys Jr | 0 | 1 | 0 | 0 | 1 |
| Zona B | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Juvencia | 3 | 1 | 1 | 0 | 0 |
| Estrella Federal Jr | 3 | 1 | 1 | 0 | 0 |
| Zona C | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Argentinos Jrs jr | 3 | 1 | 1 | 0 | 0 |
| S.F. Billinghurst jr | 0 | 1 | 0 | 0 | 1 |
| Almafuerte Jr | 0 | 1 | 0 | 0 | 1 |
| Zona D | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| C.F. Pacheco | 3 | 1 | 1 | 0 | 0 |
| Club Saavedra | 3 | 1 | 1 | 0 | 0 |
| Da Vinci | 0 | 1 | 0 | 0 | 1 |
| Zona F | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Los Muchachos Jr | 3 | 1 | 1 | 0 | 0 |
| Estrada de Almagro | 1 | 1 | 0 | 1 | 0 |
| Saenz Peña | 1 | 1 | 0 | 1 | 0 |
| América del Sud | 0 | 1 | 0 | 0 | 1 |
| Zona G | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Alvear | 3 | 1 | 1 | 0 | 0 |
| Caracas Futsal | 0 | 1 | 0 | 0 | 1 |
| Zona H | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Quintana de Lanus | 3 | 1 | 1 | 0 | 0 |
| Las Carretas | 3 | 1 | 1 | 0 | 0 |
| Primera Junta Jr | 0 | 1 | 0 | 0 | 1 |
| Zona I | PTS | PJ | PG | PE | PP |
|---|---|---|---|---|---|
| Amigos de Villa Luro | 3 | 1 | 1 | 0 | 0 |
| Paternal | 0 | 1 | 0 | 0 | 1 |
