philippe

Quel sport pratiquez-vous?

 PETANQUE

 TENNIS

PALET

Quel est votre sport préféré ?

 PETANQUE

 TENNIS

PALET

VOTRE ADRESSE 

VOTRE NOM 

VOTRE DATE DE NAISSANCE  {"name":"DATENAISSANCE","value":"","required":true,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}

VOTRE COMMENTAIRE 

A QUEL VOYAGE AVEZ-VOUS PARTICIPE? (appuie ctrl pour choix multiple)

 AUCUNCUBAAFRIQUEESPAGNEAUSTRALIE

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