Application for full membership

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Fill in the application form to become a full member of Floga.

You must complete all fields marked with *.

Child's details

First name *

Last name *

Date of birth *

TTTT

Department of hospitalisation *

Parents' details

This application is for *

The father

The mother

Both parents

Father’s personal details

If this application is for the father, please fill in the next 3 questions.

First name

Last name

Profession

Father's contact details

If this application is for the father, please fill in the next 3 questions.

Address

Town/City

Landline

Mobile

Mother's personal details

If this application is for the mother, please fill in the next 3 questions.

First name

Last name

Profession

Mother's contact details

If this application is for the mother, please fill in the next 3 questions.

Address

Town/City

Landline

Mobile

Registration and annual fee

I have paid €10 per member

I have not paid €10 per member

I wish to contribute to the aims of the Association and undertake the rights and obligations stemming from these.

I have read the privacy policy (https://www.floga.org.gr/gdpr/) and consent to the collection and retention of my personal data by Floga, to be used in managing and organising its Volunteer Team. I reserve the right to withdraw said consent.

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