Fiche d'inscription         

                                        

Nom :

                                                                 

Prénom :                                             

                                                                                                                                                                                                

Age :                                                                                                                                                                                                                                    

 


Tél :    

                                                                                                                                                                                                                                                   

Pratiques acrobatiques, spécialités :                                                                                                                                                                                                  

Trampo               Acro au sol           Hip Hop

Portés                Equi                         Capoeira                                                           

Autres (Ex : bascule...)        

                                                          

Participation :                          Plein tarif              Tarif réduit

                       Les 3 jours
(spectacle du 16/04 inclus) :       30 Euros                 25 Euros

                       Un jour :             9 Euros                   7 Euros      x...

                                                                    (Ex : Si tu viens 2 jours, tu mets x2)

                       Spectacle :         10 Euros                 7.5 Euros

                               

Restauration :     5 repas : 25 Euros

                              1 repas : 6 Euros     x… (Ex : Si tu veux manger trois fois, tu mets x3)

 

Logement chez l’habitant :           Non                        Oui (prévoir duvet)

     Impossibilité de dormir

(tentes, camions, camping-cars…)

               sur le site

Moyen de transport :                    Non                 Oui, lequel ?  Voiture

                                                                                                                          Vélo

                                                                                                                         Roller    

                                                                                                                         Mono

                                                                                                                         Trottinette

                                                                                                                         Autre(s)…      

Proverbe préféré :

 

Renvoyer le bulletin d’inscription ainsi qu’un chèque libellé à l’ordre d’Accros d’Acro

le plus rapidement possible à l’adresse suivante :   

                                                                            Accros d'Acro

                                                                         8, Rue Auguste Dide

                                                                            31500 Toulouse

 

                                                                                                                 Merci et à bientôt !