Formulaire by play-planner.com

FORMULAIRE D'INSCRIPTION

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WELCOME TO SURF HARMONY

We will contact you to offer some time slots

Number of person to register 1 2 3 4 5 6 7 8

Detail of each person

1st person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

Collective Courses

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

2nd person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

3rd person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

4th person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

5th person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

6th person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

7th person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

8th person

Birth date*

Surf level

Beginner (0 lesson)

Initiated (1 to 5 lessons)

Average (more than 5 lessons)

Expert

PACK

1 lesson: 45€.

2 lessons: 85€.

3 lessons: 125€.

4 lessons: 155€.

5 lessons: 180€.

For specific requests, please tell us in the message box.

Beginning date of course*

Ending date*

Message

I have read and accept the Conditions Générales.

I want to receive a copy of the registration please.

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