Residential Child Application Form
Email address *
PARENT First Name / Prénom *
Your answer
PARENT Last Name / Nom *
Your answer
Telephone number (including country code) *
Your answer
Adress / Adresse *
Your answer
Postcode / Code Postale *
Your answer
City / Ville *
Your answer
Country / Nation *
Your answer
How did you hear about Action Camp? / Comment vous nous avez trouvé? *
Childs' Emergency Contact Name *
Your answer
Childs' Emergency Contact Surname *
Your answer
Child's Emergency Contact Telephone Number *
Your answer
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