form-piscine - Ville du Chambon-Feugerolles

form-piscineisabelle faure2021-07-15T09:42:09+02:00

Formulaire de demande : Piscines

1. Votre structure

Nom de la structure ou association*

Responsable de la structure:

Nom *

Téléphone *

Prénom *

Adresse e-mail *

2. Votre événement:

Intitulé *

3. Informations sur l'événement:

Descriptif de l'événement: *

Personnes à joindre sur place (1 minimum) *

Nom *

Téléphone *

Prénom *

Adresse e-mail

Nom

Téléphone

Prénom

Adresse e-mail

4. Équipement:

Estimation du public attendu:*

La dépose de la demande doit se faire au minimum 15 jours avant la date de l'événement.

Ligne(s) d'eau grand bain:

Date du créneau piscine:

Nombre de lignes

Heure de début:

Heure de fin:

Petit bain:

Date du créneau piscine:

Heure de début:

Heure de fin:

Autre (préciser):

5. Matériel souhaité :

Autres:

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