Last name *	First name *
Client registration	E-mail*
Address*	Zip code *
City *	Country*
Date of birth *
Phone
Mobile phone *

The campsite is open from 1st May to 30 September From : to :

Flexible stay : According to availability, you can switch your stay by : -4 -3 -2 -1 0 +1 +2 +3 +4 days either side of your arrival date -4 -3 -2 -1 0 +1 +2 +3 +4 days either side of your departure date

Places (in order of preferences)
N°1
N°2
N°3
N°4
N°5
Notes :

Additional person
Last name, First name	Date of birth
Last name, First name	Date of birth
Last name, First name	Date of birth
Last name, First name	Date of birth
Last name, First name	Date of birth

Your equipment
Equipment : -	Electricity : Yes No Caravan Tent

Vehicule (inside the campside)
Category :	Car Van
Manufacturer	Type
Color	Registration

Animal (Rabies inoculations book required)
Animal	0 1
All animals must have up-to-date rabies inoculations and be kept on a lead by an adult

Validation