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 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 17 June - 21 June 24 June - 28 June 1 July - 5 July 8 July - 12 July 15 July - 19 July 22 July - 26 July 29 July - 2 August 5 August - 9 August 26 August - 30 August 2 September - 6 September 5. Parent or Legal Guardian Statement I agree to enroll my child, in the Summer Camp 2018 of Paradise Park, and I will bring the necessary medical certificate. 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
