Register for a Camp

Childs Details

Child Firstname: *

Enter your Child's firstname

Child Lastname: *

Enter your Family's name here

Date of Birth: *

Select your Child's date of birth from "calendar"

Gender: *

Nationality: *

Accident Insurance: *

What's your Child's Accidents Insurance

Policy Number: *

What's your Child's Accident Insurance Policy Number

Health Insurance: *

What's your Child's Health Insurance

Policy Number: *

What's your Child's Health Insurance Policy Number

Ecolint Student: *

T-shirt Size: *

Parents Details

Parent Firstname: *

Enter your first name

Parent Lastname: *

Enter your name

Address Line 1: *

The first line of your address

Address Line 2:

The second line of your address

Postal Code: *

Your postal code

City: *

Your city

Phone Number: *

Format: +41 22 987 65 43

Mobile Number: *

Format: +41 79 987 65 43

Emergency Phone Number: *

Format: +41 79 987 65 43

Email address: *

This address will be used for all the further communcations.

I authorise the use of images or recordings of my child: *

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Contact person if parents can't be contacted

Name: *

Relation: *

Address: *

Phone Number: *

Medical information

Attending Physician Name: *

Attending Physician Phone Number: *

Format: +41 22 987 65 43

Tetanus Vaccine Date: *

Votre enfant a-t-il des problemes de sante ?:

Votre enfant prend-il des medicaments regulierement ?:

Other relevant information:

Your total is going to be:
0 CHF

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