Formulario Stralugano

Stralugano

For which event are you registering your child?

Saturday 23 September from 15:30 to 20:00

Sunday 24 September from 9 a.m. to 12.30 p.m.

Child's name

Surname Child

Sex

Parent Name

Surname Parent

Parent telephone number

The information contained herein is for the exclusive use of the KoalaSitter service staff.

Tick all the boxes representing a child's need or characteristic use

Allergies (medicines, food, plants, animals)

Asthma

Behavioural disorders

Are there any physical activities you cannot do?

We consent to the use of the photos (for our publications for information purposes only)

Food intolerances

Diabetes

Do you follow a special diet (vegetarian)?

Other particularities to be noted or clarifications of previous points (allergies, intolerances):

In case of need/urgency, please contact:

Main telephone number

Telephone number 2

Please note that participants must be privately insured against accident and liability.

The association is relieved of responsibility for the management of the child beyond the event's hours.

Place

Province/Canton

Nation

Date

Signature

Sign here

I have read the data protection provisions and declare that I accept them.

English

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