Formulaire by play-planner.com

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

To register many persons
Choose the number of person to register, then beow, fill in one file (little surfer) for each person: civil information and course choice.

Detail of each person

1st person

Birth date*

Pack Surf

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

2nd person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

3rd person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

4th person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

5th person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

6th person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

7th person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

8th person

Birth date*

1 lesson: 35€.

3 lessons: 100€.

5 lessons: 160€.

10 lessons: 290€.

Private lessons, please let us know yor wishes

How did you know about the school?

Can't remember

Website

I saw the van

I saw you on the beach

Ear to mouth

Social media

Posters

Beginning date*

Ending date*

Comment

I have read and accept the Conditions Générales.

I want to receive a copy of the registration please.

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