Registration form

English language Prometheus camp 2010

First name:
Last name:
Sex: male female
Date of birth:
dd.mm.yyyy		  .  . 
Street address:
Postal code:
City:
E-mail:
Phone of participant:
Phone of guardian:
Membership number:
if you are a member
School:
School class 2007-2008:
Diet: anything goes vegetarian vegan
Other food allergies or special diet:
Illnesses and conditions that may affect your stay:
Other important info or wishes:
Do not send my contact information to other participants of the same camp