Formulaire Inscription / Registration Form CI&Tantra
Stage du 14-16 sept 2018 Workshop
3 Les Granges, 33190 Lamothe-Landerron, Gironde
Email address *
Prénom + Nom / First Name + Name *
Your answer
Téléphone mobile / GSM *
Your answer
Adresse / Address *
Your answer
Logement souhaité / Preferred lodging *
Required
Nourriture / Food *
Required
Covoiturage / Car pooling
Ville de départ / City of departure
Your answer
Je réserve et paie les 50€ d'arrhes *
J'accepte les conditions générales / I accept the general conditions (http://permasens.org/event/atelier-de-contact-improvisation-tantra/) *
Commentaires / Comments
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms