{"id":1525,"date":"2026-09-14T19:00:18","date_gmt":"2026-09-14T17:00:18","guid":{"rendered":"https:\/\/viadomitia-meze.org\/?page_id=1525"},"modified":"2026-09-15T14:27:09","modified_gmt":"2026-09-15T12:27:09","slug":"attestation-de-responsabilite","status":"publish","type":"page","link":"https:\/\/viadomitia-meze.org\/?page_id=1525","title":{"rendered":"Imprimer l’attestation de responsabilit\u00e9"},"content":{"rendered":"


\n\ud83d\udda8 Imprimer cette page
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ASSOCIATION\u00a0 \u00ab\u00a0SI LA VIA DOMITIA M\u2019ETAIT CONTEE\u2026\u00a0\u00bb<\/strong><\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0SUR LES PAS DES\u00a0 ROMAINS<\/strong><\/p>\n

Association N\u00b0 W343029389\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 2026\/2027<\/strong><\/p>\n

N\u00b0 Siren\u00a0: 908\u00a0956 071<\/p>\n

16, rue de la Loge<\/p>\n

34140 M\u00e8ze<\/p>\n

Attestation de d\u00e9charge de responsabilit\u00e9<\/em><\/strong><\/p>\n

Je soussign\u00e9(e), (pr\u00e9nom, nom) \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n

N\u00e9(e) le (date de naissance) \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..\u2026\u2026\u2026\u2026<\/p>\n

\u00e0 (lieu de naissance) \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n

Demeurant \u00e0 (adresse compl\u00e8te) \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n

\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n

D\u00e9clare d\u00e9gager l\u2019association \u00ab\u00a0Si la Via Domitia m\u2019\u00e9tait cont\u00e9e … Sur les Pas des Romains\u00a0\u00bb, de toutes responsabilit\u00e9s en cas d\u2019accident de toute nature que ce soit et assure renoncer \u00e0 toute action \u00e0 son encontre quant aux randonn\u00e9es pr\u00e9vues de Septembre 2026 \u00e0 Septembre 2027.<\/strong><\/p>\n

J\u2019ai bien not\u00e9 qu\u2019il m\u2019appartient de souscrire une assurance de responsabilit\u00e9 civile pour couvrir tout type de dommages mat\u00e9riels ou corporels caus\u00e9s \u00e0 un tiers.<\/p>\n

Je reconnais avoir pris connaissance de tous les risques li\u00e9s \u00e0 la pratique de cette randonn\u00e9e et je m\u2019engage \u00e0 suivre les r\u00e8gles de conduite et de s\u00e9curit\u00e9 qui m\u2019ont \u00e9t\u00e9 \u00e9nonc\u00e9es par le\/la responsable de la randonn\u00e9e du jour.<\/p>\n

J\u2019ai lu attentivement la pr\u00e9sente d\u00e9charge et je la signe en toute connaissance de cause.<\/strong><\/p>\n

Sinon nous faire parvenir un certificat m\u00e9dical.<\/strong><\/p>\n

Fait \u00e0\u00a0\u2026\u2026\u2026……….., le \u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n

Signature\u00a0:<\/strong><\/p>\n<\/div><\/section>\n

\nNote<\/title>\nNote<\/desc>\n<\/path>\n<\/svg><\/span>Cliquez sur moi<\/span><\/a><\/div>\n
\nNote<\/title>\nNote<\/desc>\n<\/path>\n<\/svg><\/span>Cliquez sur moi<\/span><\/a><\/div>\n
\nNote<\/title>\nNote<\/desc>\n<\/path>\n<\/svg><\/span>Cliquez sur moi<\/span><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1525","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/pages\/1525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1525"}],"version-history":[{"count":26,"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/pages\/1525\/revisions"}],"predecessor-version":[{"id":1561,"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=\/wp\/v2\/pages\/1525\/revisions\/1561"}],"wp:attachment":[{"href":"https:\/\/viadomitia-meze.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}