CAMP REGISTRATION

Having received and read the letter informing me of the details of the visit/event, arranged by HELLO-PLANET LTD, I give permission for my son/daughter (child’s name) to take part in any, or all of the activities described.

Venue: Summer camp for teenagers in Spain.
Date: select

Camp 24th -30th JuneCamp 1st - 10th JulyCamp 11st - 24th JulyCamp 24st June - 24th July

Dietary Requirements:
My child has the following food allergies.

Medical Information and Treatment Consent. My child has no illness or physical disability.

My child has the following illness or disability

which necessitates the following treatment / additional care:

I consent to my son/daughter receiving any emergency medical treatment, which may be necessary during the visit:
Signed

Parent/Carer Address

Mobile Telephone No.

Home Telephone No.

Work Telephone No.

Please give an alternate contact:
Name

Address

Telephone No.

I give consent for my child’s image and name to be used in media coverage of the event.

YESNO