Please
complete all the entries of the form to contest yourself the faster we could.
Send back the form with a 30% cheque order to "ecole
de surf Pura Vida" to this address: PURA VIDA SURF SHOP-Pour Christophe Ozon
32 Avenue du marensin
40550 LEON
TO COMPLETE
AND TO PRINT
name
nickname
address
town
post code
e-mail
TEL
DATE OF BIRT
1/Which
formula do you want to try?
Formule
A
Formule
B
Formule
Bbis
Formule
C
Formule
Cbis
Formule
D
Formule
E
Formule
Ebis
Formule
F
Formule
Fbis
For the older minors (16 or 17
years old), which want to be self responsible outside the hours
of surf teaching could with a written parents autorization stay
in the surfcamp "La Baraquette" (contact: 0680915377)
with or without the pension and join an adult formula.
2/Date
of the stage
BEGINNING
THE:
2007
FINISH
THE:
2007
Becarful !!!
Contact us the day before the stage to confirm the programmation.
