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Registration National Camp
Fëllt w.e.g. folgenden Formulär aus fir iech unzemëllen, dir kritt dann eng Confirmatioun per Email geschéckt.
Please fill in the form to register, you will later receive a confirmation mail.
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Name of participant
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Your answer
Date of birth
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Name of parent/legal guardian
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Your answer
E-mail adress of parent/legal guardian
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Your answer
Mobile phone number of parent/legal guardian
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Your answer
Health form
current medications and needs
Do you take any medications? (Medication is any substance a person takes to maintain and/or improve his/her health and includes vitamins and homeopathic remedies.)
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Yes
No
If yes, any special instructions?
Your answer
Any recurring medical problems or chronic conditions?
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Yes
No
If yes, please specify
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Allergies (food, bee stings, insect bites, medicines, others)
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Your answer
What medications can you be given for an allergic reaction?
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Do you require a special diet? (vegetarian, vegan, etc)
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No
If yes, please give details
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Comments
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