Youth movements and associations - Online application

Name of the group *

Purpose *

Type of group *

Budget per person to be respected *

Number of participants

- 12 years old

from 12 to 18 years old

+ 18 years old

Number, other than '+18 years', being accompanying persons / staff members

Transportation preference / choice 1 *

Transportation preference / choice 2

Destination preference / choice 1 *

Destination preference / choice 2

Accompanist JEKA *

Yes No

First name *

Family name *

Phone *

Email *

Postal code *

Message

* Mandatory fields

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