www .ad fr anco .com - Parlez

Adventure Francophone
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SKI AU QUEBEC 16 au 22 février 2013
www.adfranco.com
A la Base de Plein Air de Mont Tremblant
Pour les élèves du primaire (à partir de 7 ans)

4 journées de ski sur les pistes de Mt Blanc, 1 moniteur pour 10 enfants
ou 3 journées de ski et 1 journée au centre aquatique de La Source.

1 journée glissade sur tube, promenade en traîneaux à chiens et pêche à
la glace.

Activités à la Base de Plein Air prises en charge par une équipe
d’animateurs dynamiques

Encadrement assuré par des enseignants expérimentés

Transport - hébergement - repas - location de skis - animation
$1260
Avant le 20/12/13
Infos
Anouk LONG
Tel: 201 232 7864
Email :
[email protected]
www.adfranco.com
Location de matériel : Ski $ 80
Snowboard $95 (à partir de 9 ans)
snowboard, protections poignets obligatoires, non fournies. Casque
obligatoire pour le snowpark et pour le ski non fourni.
Register on line www.adfranco.com or send the Registration form below
To enroll, please return the registration form fully completed along with a non refundable $250 check to the order of Adventure
Francophone to: Anouk Long, P.O. Box 226, Madison, NJ 07940
 I want to purchase the $45 cancellation insurance and get 100% refund, including the $250 deposit, for cancellation at anytime for any
reason. See website for the cancellation and refund policy: www.adfranco. com/registration
On receipt of your registration Adventure Francophone will send you additional information pertaining to the camp.
Please, fill out this form carefully.
Child’s name:...................……………
Date of birth (mm/dd/yy): ……….…..
School:…………………………………
Father’s last name: ……………....…..
Mother’s last name: …………………..
Address:...........…...............................
...………..………………..…………….
Mother’s phone numbers:
H: ……………………...…..……….…..
W: ……………………………….….….
Cell: ..………………………...……..
First Name: ...........….…………
Age:.....…......Gender:...……..…
Grade: ……………........…….....
First name: ......…………..........
First name: …………………….
City: ...........…….................…..
State: ……....... Zip: ....……......
Father’s phone numbers:
H: ………………….……….…..
W: ……………………….……..
Cell: .……………………………
Make sure you have
the appropriate
travel documents.
(Passport + US visa or
green card and Canadian
visa if necessary)
Check with your
Insurance company
for coverage in
Canada
 No equipment rental
 Snowboard weight :……………
USEquipment
shoe size :………………………..
rental:
Weight :…..…kg
.
 Ski
Child’s level:
 1 (never skied)
 2
Height ……..cm
US shoe size :……
 Snowboard
3
4
 5 (expert)
Height :……..cm
Please: print
a valid parent’s email address carefully and clearly since all information regarding the trip will be
Weight
…….kg
sent
to
you
by
Please notify us of any further email change.
US Shoe size email.
:………
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Email :