ESG LTS 2018 Czech Republic
AGE LIMIT: 14
DEADLINE: 17.6. 2018 LIMITED SPACE AVAILABLE, REGISTER NOW ;)
E-mail contact: esglts@ymcaskaut.cz
First name *
Your answer
Last name *
Your answer
Date of Birth *
Your answer
Country *
City *
Your answer
Address (street, number, postal code) *
Your answer
Local YMCA group *
Your answer
Mobile phone number *
Your answer
E-mail *
Your answer
Passport number *
Your answer
Issuing country *
Your answer
T-shirt *
Important information (Allergies, medicine etc.) *
Required
Sleeping preference *
Preferred form of payment *
Means of transport to the Czech Republic: *
I understand that insurance is the responsibility of the participant *
We STRONGLY recommend that you bring a backpack instead of a suitcase (we will walk to/from our camp) *
Only for people under 18: Parents / Contact Person (Name)
Your answer
Under 18: Parents / Contact Person (Phone Number)
Your answer
Under 18: My parents have agreed to this application
Submit
Never submit passwords through Google Forms.
This form was created inside of YMCA SKAUT. Report Abuse - Terms of Service