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FORMULAIRE DE LOCATION - PARC RÉGIONAL DE VAL-D'IRÈNE
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Email
*
Your email
DATE DE SORTIE / DATE OUT
*
MM
/
DD
/
YYYY
DATE DE RETOUR / RETURN DATE
*
MM
/
DD
/
YYYY
NOM COMPLET / FULL NAME
*
Your answer
ADRESSE / ADRESS
*
Your answer
# TÉLÉPHONE / PHONE #
*
Your answer
# CARTE D'IDENTITÉ / ID#
Your answer
NIVEAU D'HABILETÉ/SKILL LEVEL
*
DÉBUTANT/BEGGINER
INTERMÉDIAIRE / INTERMEDIATE
AVANCÉ / ADVANCED
POIDS / WEIGHT
*
Your answer
ÂGE / AGE
Your answer
GRANDEUR / HEIGHT
*
Your answer
POINTURE / SHOE SIZE
*
Your answer
ITEM
*
SKI ALPINS ÉQUIPEMENT COMPLET - COMPLETE KIT SKI
PLANCHE À NEIGE ÉQUIPEMENT COMPLET / COMPLETE KIT SNOWBOARD
BÂTONS / POLES
CASQUE / HELMET
LUNETTES / GOOGLES
BOTTES / BOOTS
J'accepte les conditions d'engagement :
*
OUI / YES
NON / NO
Signature
*
Vous signerez aussi ce formulaire en version imprimée à la réception de votre équipement.
You will also sign this form on a printed version when you will receive your equipment.
Your answer
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