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Pass jeunesse

Vous désirez recevoir votre Pass Jeunesse, veuillez remplir le formulaire ci-dessous.

Nom
Prénom Nom
E-mail*
Date de naissance
MM slash JJ slash AAAA
Adresse*
Adresse postale Adresse ligne 2 Ville ZIP / Code postal
Téléphone*
Situation*
- Collégien
- Lycéen
- Etudiant
- Vie active
- Sans profession
Si vous êtes collégien ou Lycéen, quel établissement ?
Carte d’identité*
Taille max. des fichiers : 128 MB.
Justificatif*
Taille max. des fichiers : 128 MB.
Je souhaite recevoir des informations sur les nouvelles offres du « PASS JEUNESSE » et les actualités jeunesse de la Ville*
- Oui
- Non

ATTENTION : Si vous avez moins de 16 ans, vous devez faire remplir une autorisation parentale disponible ici à compléter et à retourner au moment de l’inscription à jeunesse@saint-chamond.fr.

Cookie	Durée	Description
_GRECAPTCHA	5 months 27 days	This cookie is set by Google. In addition to certain standard Google cookies, reCAPTCHA sets a necessary cookie (_GRECAPTCHA) when executed for the purpose of providing its risk analysis.
cookielawinfo-checkbox-advertisement	1 year	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Advertisement".
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
PHPSESSID	session	This cookie is native to PHP applications. The cookie is used to store and identify a users' unique session ID for the purpose of managing user session on the website. The cookie is a session cookies and is deleted when all the browser windows are closed.
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Cookie	Durée	Description
__utma	2 years	This cookie is set by Google Analytics and is used to distinguish users and sessions. The cookie is created when the JavaScript library executes and there are no existing __utma cookies. The cookie is updated every time data is sent to Google Analytics.
__utmb	30 minutes	The cookie is set by Google Analytics. The cookie is used to determine new sessions/visits. The cookie is created when the JavaScript library executes and there are no existing __utma cookies. The cookie is updated every time data is sent to Google Analytics.
__utmc	session	The cookie is set by Google Analytics and is deleted when the user closes the browser. The cookie is not used by ga.js. The cookie is used to enable interoperability with urchin.js which is an older version of Google analytics and used in conjunction with the __utmb cookie to determine new sessions/visits.
__utmz	6 months	This cookie is set by Google analytics and is used to store the traffic source or campaign through which the visitor reached your site.
_gat	1 minute	This cookies is installed by Google Universal Analytics to throttle the request rate to limit the colllection of data on high traffic sites.
idrxvr	1 year 1 month	This cookie is used for analyzing the traffic. The cookie collect information on the user activity and identify the issues for improving the service.
YSC	session	This cookies is set by Youtube and is used to track the views of embedded videos.

Cookie	Durée	Description
__stid	1 year	The cookie is set by ShareThis. The cookie is used for site analytics to determine the pages visited, the amount of time spent, etc.
_ga	2 years	This cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors.
_gid	1 day	This cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the website is doing. The data collected including the number visitors, the source where they have come from, and the pages visted in an anonymous form.
atid	1 year 1 month	This cookie is set by the provider AT Internet. This cookie is used for storing the visitor ID which helps in identifying the user. This cookies are used for web traffic measurement.
atidx	1 year 1 month	This cookie is set by the provider AT Internet. This cookie is used for storing the visitor ID which helps in identifying the user. This cookies are used for web traffic measurement.

Cookie	Durée	Description
IDE	1 year 24 days	Used by Google DoubleClick and stores information about how the user uses the website and any other advertisement before visiting the website. This is used to present users with ads that are relevant to them according to the user profile.
NID	6 months	This cookie is used to a profile based on user's interest and display personalized ads to the users.
test_cookie	15 minutes	This cookie is set by doubleclick.net. The purpose of the cookie is to determine if the user's browser supports cookies.
VISITOR_INFO1_LIVE	5 months 27 days	This cookie is set by Youtube. Used to track the information of the embedded YouTube videos on a website.

Cookie	Durée	Description
_ga_6H30JR9NY7	2 years	No description
ClustBalID		No description
CONSENT	16 years 7 months 7 days 15 hours 22 minutes	No description
fpestid	1 year	No description
GEO_ATSID		No description
global_PLAY_AWS_session		No description
PLAY_AWS_ERRORS	past	No description
PLAY_AWS_FLASH	past	No description
PLAY_AWS_SESSION	past	No description
S	1 hour	No description
st_samesite	session	No description