Registration Kino Kabaret Poissonnerie 2018
Email address *
Nom / Surname *
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First Name / Prénom *
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Adress /Adresse *
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Zip Code / Code Postal *
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City / Ville *
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Country / Pays *
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Email *
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Mobile Phone Number / Numéro GSM *
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Have you been involved in KinoKabaret before? / Avez vous déjà participé à un Kinokabaret *
Are you member of a KinoKabaret cell? / Etes vous membre d'une cellule Kino *
I'd like to participate to the following session(s): / Je souhaite participer aux sessions suivantes *
I'd like to participate as: / Je participe en tant que *
Date of arrival / Date d'arrivée *
MM
/
DD
/
YYYY
Accomodation / Logement *
Food Restriction and Allergies / Allergies et régimes spéciaux *
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I am a minor / Je suis mineur *
Questions & Suggestions
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A copy of your responses will be emailed to the address you provided.
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