Loovus&Loodus laager Chicagos 31.07-06.08 Registreerimisleht/Registration form

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Email *

1. Lapse eesnimi / Child's first name *

2. Lapse perenimi / Child's last name *

3. Sünniaeg / Date of birth *

YYYY

4. Vanus laagri ajal täisaastates / Age at the time of the camp in full years *

5. Kodune aadress / Home address *

6. Tervisekaardi number / Health card number
*

7. Tervisekindlustuse pakkuja / Health Insurance provider
*

8. Ema nimi ja kontakttelefon, kontaktmeil / Mother's name and contact phone number, contact email *

9. Isa nimi ja kontakttelefon, kontaktmeil / Father's name and contact phone, contact email *

10. Erakorraliseks hädaabi juhuks isiku nimi ja kontakttelefon, kes ei ole ema ega isa (täpsustage palun tema suhe lapsega) / Name of emergency contact, who is not the parent of the child, and their phone number (who he or she is for the child) *

11. Kui lapsel on allergiaid, palun täpsustage / If the child has any allergies, please list them
*

12. Kui laps võtab regulaarselt rohtu, palun täpsustage / If the child regularly takes any medicines, please state
*

13. Kinnitan, et laps võtab oma rohud ja info nende võtmise kohta kaasa / I confirm that the child will take his/her medicines with him/her
*

Jah /Yes

Laps ei võta regulaarselt rohtu / Child doesn't take medicines regularly

14. Pererasti nimi ja telefon / Name and telephone number of the primary care doctor
*

15. Kas laps sööb tavamenüü järgi? / Does the child eat a regular diet?
*

16. Kas laps on taimetoitlane / Is the child vegetarian?
*

Jah / Yes

Ei / No

17. Kas lapsel on terviserike või tervise probleem, millest kasvatajad peaksid teadma, et teda vajadusel toetada? / Does the child have a health condition or health problem that educators should be aware of?
*

18. Lapse hobid ja huvid, mida talle meeldib teha vabal ajal? / What does the child like to do in their spare time, hobbies and interests?
*

19. Laps osaleb: *

a) suuremate laste programmis

b) väikelaste programmis

20. Nõusolek piltidele-videole jäämiseks / Consent to be captured in pictures-video
*

Jah / Yes

21. Nõusolek isikuandmete töötlemiseks / Consent to the processing of personal data
*

Jah / Yes

22. Lapsevanemapoolne kommentaar kui soovite midagi lisada, ettepanekud / Parental comment if you would like to add anything.

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