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PreBooking Form - Eastern Provence

Please fill out this form, and we will get back to you soon. Thank you!

Which Eastern Provence trip are you applying for?

How many participants will you be including yourself?

Please note: This form must be completed separately for each participant.

Please note: This form must be completed separately for each participant.

First Name

Last Name

Email Address

Your phone number

Your birth date

Want to tell us your birth place?

Where do you currently live?

Who will you be sharing the room with?

The frequency of your physical activity is...

How confident are you with walking/hiking

How confident are you with walking/hiking
A
B
C
D

How confident do you feel with activities such as biking, kayaking, etc.

How confident do you feel with activities such as biking, kayaking, etc.
A
B
C

If biking is planned in the activities, you prefer...

If biking is planned in the activities, you prefer...
A
B

Anything you would like to let us know about physical activity?

For you, on this trip, physical activity is...

For you, on this trip, discovering cultural features, local know-how and markets is...

For you, on this trip, discovering authentic places and natural spots is...

For you, on this trip, trying and enjoying local food is...

Finally, for you, on this trip, having time to relax is...

Anything you would want to share with us that could make your trip special?

Any dietary restriction?

Any dietary restriction?

How did you hear about us? If through a friend, please let us know who!

I agree for my data to be used exclusively for the purpose of this trip inquiry.

I agree for my data to be used exclusively for the purpose of this trip inquiry.