Child firstname

Child lastname

Age group

First Name Parent 1

Last Name Parent 1

First Name Parent 2 (optionnel)

Last Name Parent 2 (optionnel)

Parent's phone number

Parent's phone number 2 (optionnel)

Names and telephone numbers of persons authorised to collect the child other than parents. (optionnel)

Other indications, special notes (optionnel)

I authorise the Kidz'Ac instructors to take and use the image of my child on the Kidz'Ac website and in publicity material.

Cancellation guarantee (optionnel)

€40.00

If you want to register another child to the camp, it happens on the next page !

KIDZ'AC JOURNÉE Juillet 2026