Registration Form

Family name     First name   

Date of Birth    / /

Gender     Male Female

Nationality     First Language Spoken   

Dietary Requirements    Yes No

If 'Yes' please provide details below

MEDICAL CONDITIONS & ALLERGIES

Does your child have any known allergies?   Yes No

Does your child have any medical conditions?   Yes No

Does your child take any medication?   Yes No

If 'Yes' please provide details below

LANGUAGES & ABILITY

Preferred language course    English French German Spanish Italian None

What is your child's ability level with the language chosen above?

Complete beginner Beginner-Intermediate Intermediate-Advanced Advanced

SWIMMING ABILITY

Is your child able to swim unaided for a distance of 50 metres? Yes No

Add another camper's details

Family name     First name   

Date of Birth    / /

Gender     Male Female

Nationality     First Language Spoken   

Dietary Requirements    Yes No

If 'Yes' please provide details below

MEDICAL CONDITIONS & ALLERGIES

Does your child have any known allergies?   Yes No

Does your child have any medical conditions?   Yes No

Does your child take any medication?   Yes No

If 'Yes' please provide details below

LANGUAGES & ABILITY

Preferred language course    English French German Spanish Italian None

What is your child's ability level with the language chosen above?

Complete beginner Beginner-Intermediate Intermediate-Advanced Advanced

SWIMMING ABILITY

Is your child able to swim unaided for a distance of 50 metres? Yes No