1. General Information Child's Name and Surname Father's Name and Surname Mother's Name and Surname Child's date of birth School Name Grade completed Residential Area Home Address Home Phone No. Business Phone No Mobile Phone E-mail: 2. Transportation Camper's pick-up address Camper's drop off address Arrival with your own car Departure with your own car 3. Outside visits Yes No 4. Week(s) of Participation 1st: 19 June - 23 June 2nd: 26 July - 30 June 3rd: 03 July - 07 July 4th: 10 July - 14 July 5th: 18 July - 21 July 6th: 24 July - 28 July 7th: 31 July - 04 August 8th: 07 August - 11 August 9th: 21 August - 25 August 10th: 28 August - 01 September 11th: 04 September - 08 September 5. Parent or Legal Guardian Statement I agree to enroll my child, in the Summer Camp of Paradise Park, and I will bring the necessary medical certificate, no later than the first day of my children presence into Summer Camp. Parent's Full Name Date Advance Payment Bank deposits of advance payment through Eurobank Account. IBAN: GR9102601100000860200104329 – ΑΘΛΗΤΙΚΕΣ ΑΝΑΖΗΤΗΣΕΙΣ ΕΠΕ. The name of the child should be stated in the deposit slip. Medical Notes Notes
