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Please fill in the dates you are interested in (e.g 13/05-17/05, 12/06-15/06).
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Parent/Legal Guardian First Name
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Parent/Legal Guardian Last Name
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Child's First Name
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Child's Last Name
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Age of child
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Expiry date of Annual Card (if owned)
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DD
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YYYY
Preferred language of child
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English
Greek
Other:
Contact Telephone number/s
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Contact
e-mail
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Special Requests or Medical issues (e.g. allergies) to be aware of
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