Inscription for a walk

Contact

Title^*

Miss
Mrs
Mr

Last name^*

First name^*

Phone number^*

This phone number is only intended to alert you in case of cancellation of the walk (weather, etc.).

E-mail^*

Thank you provide your email address so that inform you of the place of appointment.

Walk / Workshop

Walk / Workshop^*

The place of rendezvous for the start of the walk will be provided upon confirmation of your registration.

Hour

Specify the time if several hours are available for this walk.

Number of persons

Adults - Price: 5€/person^*

Children (- 12 years old) - Price: Free^*

Amount to pay

To be paid by check or cash to the animator at the beginning of the walk.

Droit à l'image

J'autorise l'association Opus, ses partenaires et les réseaux auxquels elle appartient, à utiliser mon image dans le cadre de la promotion des activités de l'association (plaquette, dossiers institutionnels, panneaux d'information, site internet, réseaux sociaux).^*

Website

Fields marked with * are mandatory