The Science Camp Registration Form 2021
With this form you are registering for The Science Camp. Please read the terms and conditions form for cancelation procedures. If you have any questions please email info@thesciencecamp.nl
Parent's name *
Parent's email *
Parent's phonenumber *
Address
Students name and Date of Birth (1) *
Student's name and Date of Birth (2)
Student's Name and Date of Birth (3)
Which language does your child speak? *
Required
Does your child have any food allergies?
Emergency Contact Name. *
Emergency Contact Phone Number *
Camp dates *
How did you hear about The Science Camp
Clear selection
I agree to the terms and conditions. You can download the terms and condition here. (in English and in Dutch) https://drive.google.com/file/d/0B3zrplw_iweeMUF0WjRVeE9aQWM/view?usp=sharing *
Required
Can we take pictures of your child? *
Captionless Image
Additional Note:
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