t Check payable to « ITO - colloque» t Bank transfer IBAN FR76 3000 3035 0100 0501 2961 754. BIC. SOGEFRPP. Please return this form with your payment to:.
7â25 July 2003. Aix-en-Provence, France. PARTICIPANT REGISTRATION FORM. Please return this completed form before February .... Place of birth, country.
I give my consent for Les Petits Grands Lecteurs to take my child in photo or video for advertising reasons related to youth programs (eg, leisure guide). *. I Oui.
Altertour Individual Registration Form .... 3. a copy of your Civil Responsibility insurance ; ... o Children stay under the responsibility of their referent adult.
6 oct. 2017 - liter le parcours des gens qui ont choisi l'activité physique comme premier ... Julie-Christine enseigne en techniques d'éducation spécialisée au Cégep de ... Autant dans son parcours professionnel que sportif, elle privilégie la .... S
Deadline to register: Friday, May 18. Date limite pour inscrire: vendredi, 18 mai. Note: Members who are single parents, parents attending Congress on their own ...
1. Personal Information (the fields marked with * must be completed). * Title. * Name: * First name: Organisation/Company: Organisation type (please stick one):.
B. VEHICLE INFORMATION (If more than one vehicle, use a Vehicle Reading form che descriptive for every other vehicle.) Year: Make: Model: Color: Body: Series/Trim: # VIN: Odometer: KMS. MILES. Distance Travelled Unknown. Please explain (select most a
Jan 15, 2009 - Please ensure that your bank covers any transfer charges. Please make checks payable to S.O.O.N. [Design Research Foundation]:. S.O.O.N..
Aug 28, 2004 - PERSONAL DETAILS. Mr. Mrs. Miss Dr. Prof. Last Name: First Name: Company / Institution: Position: Street / P.O. Box: Zip code: City: Country:.
Traitement médical. Le Collège du Léman est habilité à prendre toutes les mesures nécessaires pour la sauvegarde de la santé et du bienR être de l'élève.
Phone number: (ultra trail and 59km: cellphone mandatory day of racing to confirm the registration) : E.mail: ... Dormitory Friday night and. Available from 8 pm.
inscription à la conférence et de votre demande d'adhésion au groupe ... vous diffuser les publications, à vous pourvoir les privilèges de votre adhésion, à vous.
To be filled out by the applicant or person responsible for the applicant who has a .... may be disclosed by Hydropothecary to: (a) Authorized Third Parties, (b).
