Name child*

Date of birth*

Signing up for*
(Thursday) 28th of Juli 09:00 - 13:00
Price 40,- euros per day 150 euros for 4 days

Wants to be in the group with

Speaks*
EnglishDutchGerman

Allergies / particulars

Name parent / guardian 1*

Phone number 1*

Emailadress 1*

Name parent / guardian 2

Phone number 2

Emailadress 2

I approve that the pictures taken of my child(ren) during the camp may be used by Sportcentrum Mariahoeve to post on her social media accounts*