PRE-ENROLMENT BY E-MAIL

You can enrol by e-mail. Make sure that there are still vacancies by telephoning beforehand : 05 49 56 60 09.
Thanks.

1. Your name, address and telephone number

Forename

Sex Sex M Sex F

Name

Date of birth 12345678910111213141516171819202122232425262728293031 123456789101112 2010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935

Address

Post Code

Town

Email

Home telephone number

Portable tel.

Office tel.

2. MORE INFORMATION

Date of beginning session 12345678910111213141516171819202122232425262728293031 123456789101112 201220112010

Date of end of session 12345678910111213141516171819202122232425262728293031 123456789101112 201220112010

Transportation Outward journey By train By car
Return journey By train By car