Last name and first name*

Address*

Zip code*

City*

Email address*

Phone number*

Kind of accomodation* Kind of accomodation*CampsiteGuestroomP'tit Nid - Cabin3 guesthouses at the Domaine (28-32 pers) + room and kitchenGuesthouse Très Grand Gîte au Domaine (14 pers)Guesthouse Grand Gîte au Domaine (10-12 pers)Guesthouse Petit Gîte au Domaine (4-6 pers)Guesthouse Gîte au Village (8 pers)Guesthouse Gîte La Bourrellerie (10 pers)

Expected arrival*

Expected departure*

Number of adults* Number of adults*1 adult2 adults3 adults4 adults5 adults6 adults7 adults8 adults9 adults10 or more adults (precise in comment)

Number of children from 12 years old* Number of children from 12 years old*0 child from 12 years old1 child from 12 years old2 children from 12 years old3 children from 12 years old4 children from 12 years old5 children from 12 years old6 children from 12 years old7 children from 12 years old8 children from 12 years old9 children from 12 years old10 or more children from 12 years old (precise in comment)

Number of children from 3 to 11 years old* Number of children from 3 to 11 years old*0 child from 3 to 11 years old1 child from 3 to 11 years old2 children from 3 to 11 years old3 children from 3 to 11 years old4 children from 3 to 11 years old5 children from 3 to 11 years old6 children from 3 to 11 years old7 children from 3 to 11 years old8 children from 3 to 11 years old9 children from 3 to 11 years old10 or more children from 3 to 11 years old (precise in comment)

Number of babies of 2 years old or less* Number of babies of 2 years old or less*0 baby of 2 years old or less1 baby of 2 years old or less2 babies of 2 years old or less3 babies of 2 years old or less4 babies of 2 years old or less5 babies of 2 years old or less6 babies of 2 years old or less7 babies of 2 years old or less8 babies of 2 years old or less9 babies of 2 years old or less10 or more babies of 2 years old or less (precise in comment)

Options Options Breakfast Animal supplement

Options Options Breakfast (9€, from 8:00 to 10:00)

Options Options Riverside Electricity Fridge rental Kitchen rental Animal supplement Car on the pitch

Pitch preference 1 Pitch preference 1123456789101112131415161718192021222324252627282930313233343536373839404142

Pitch preference 2 Pitch preference 2123456789101112131415161718192021222324252627282930313233343536373839404142

Pitch preference 3 Pitch preference 3123456789101112131415161718192021222324252627282930313233343536373839404142

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