Registration "Healer for a day winter"

Number of participant(s)

Renseigner la période ou les dates souhaitées *

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Participant n° 1

Please indicate two choices, in case an activity is no longer available.

Age (>= 10 years) *

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Choice 1 *

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Choice 2 *

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Please note, the participant's age is under 12, an accompanying adult is therefore compulsory!

By checking this box, I agree to provide an accompanying person for this child

Participant n° 2

Please indicate two choices, in case an activity is no longer available.

Age (>= 10 years)

Ce champ est obligatoire.

Choice 1

Choice 2

Please note, the participant's age is under 12, an accompanying adult is therefore compulsory!

By checking this box, I agree to provide an accompanying person for this child

Contact details of the person paying the activity

Last name *

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First name *

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Adress *

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Postal code *

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City *

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Phone *

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E-mail *

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It's to offer ? *

How did you hear about our activities? *

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Comment

By checking this box, you consent to the retention of your personal data by Le PAL.

In accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016, you have the right to access, rectify, erase and oppose your personal data as well as a right to limitation and portability of your data. You can exercise your rights by contacting us at info@lepal.com. Find our personal data protection policy .