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YMCA
Centre 7 bis chemin de la Justice Postal address: BP 112 30401 Villeneuve lez Avignon cedex Tιl. : 33 (0)4 90 25 46 20 Fax : 33 (0)4 90 25 30 64 E-mail : ymca-avignon@wanadoo.fr
Registration form Name of Group :........................................................................................... Address for contact: .......................................................................................... Tel:
/00/.. /
./
/
Fax: /00/../
../
/
.
E. Mail: ....................................................... Name of the person in
charge of the group:........................................................ Group composition: Ladies/ Girls ages between .& .
........ Men/ Boys
ages between
&
..
..Ladies accompanying or
responsible for the group
...Men accompanying or
responsible for the group
Couple (s)
accompanying
. Driver(s) Other participants (please give details) ......................................................................... TOTAL: /
./ persons Arrival
..
Departure
.. Day
of the week
.
Day of the week
. Time
..
Time
1st
night of occupancy: from
..
to
. Last
night of occupancy from
..
to
.. 1st
meal on (date)
.with
..
(Please specify breakfast, lunch, packed lunch or supper) Last
meal on (date)
with
.. We require :
Full board/
/
or Half board /
/ (please
tick your choice) We require if available rooms with 1 or 2 beds only for leaders in the YMCA
Centre (a supplement is charged for single rooms) Please book accomodation in a nearby hotel for . Single or . Twin rooms or Double rooms. We require (please state your
request of accomodation)
..for the
coach driver(s). We here include (date)
the payment of
Euro,
as the deposit for our booking (non-refundable
in the event of cancellation) Please book for us the following excursions: (Please
indicate days an timings you wish for each activity, we can send you
information on prices) List
here :
Comments:
.. I,
(print your name)
.
.
..leader and duly
responsible for the group (state name)
..herby
certify to have read and made myself fully acquainted with the policies
and procedures of the YMCA centre and I will insure my group will be
instructed to follow them. This registration form is a formal booking Date: Signature :
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