first name (obligatoire)

last name (obligatoire)

date of birth (obligatoire)

Adress (obligatoire)

E-mail (obligatoire)

Association

Sponsors

Name of your Instagram or Facebook account

Your presentation photo (required) (obligatoire)

By participating in this event, the competitor and his legal representatives authorize the organizer and its sponsors to use his image free of charge during and after the competition. The operating framework could be, for information only, the publication of articles and photos promoting the event in the regional and national written press, the broadcast of regional and national TV reports, the publication of photos and videos on the event website, promotional films promoting the event by the municipality, association or partners.
OuiNon