Enrollment Form

Child's Full Name (as written in passport/ID, Latin letters

First

Last

Date of Birth

Nationality

Age

Height

Weight

Transport

Camp Dates

Parents Information (Mother)

First

Last

past number medical

Parents Information (Father)

First

Last

Extra-Cirricular Activities & Personal Interest

Health Status : Any injuries or medical issues in the past month?

Does the child have any medical conditions? If yes, please specify.

Does the child have any allergies? If yes, please specify.

Does the child follow a special diet? If yes, please specify.

Name and telephone number of the child’s GP

Comment or Message (Anything else we should know)