Extreme Adventure Camp 17-22 July 2023

€480.00

Participant’s full name*

Gender*

Date of birth:

Day*

Month*

Year*

School*

Grade finished in June 2023*

Nationality*

Languages spoken*

Address

Address*

We will ask you for your billing address during payment process. If your billing address is the same with address of your residence we can use billing address for our reference.

My address is the same as the billing address

My address is different from billing address

Address*

Street Address City Postal Code Country

Parents' information:

Are you child's*

Mother

Father

Legal guardian

Mother's full name*

Mother's Phone Number*

Father's full name*

Father's Phone Number*

Child's health report:

Child’s health report:

(Please mention any health issues, medicine, allergies, food allergies and whatever else you believe is important for us to know about your child. Please mention if your child follows a vegetarian diet.)

+35722254612

Extreme Adventure Camp 17-22 July 2023

Address

Parents' information:

Child's health report:

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