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Application Form

"Learn and Play" Summer Camp

Mother Name

Name

Father Name

Place of Birth

Male

Date of Birth
Sex

Female

School

T-Shirt Size

10

years 14

12

/
/

Family Name

Address
Flat

Bldg.

City

Street

Country

Hobbies

Interests

Mother Tongue Language

Second Language

Any Allergies

Specific Medicine

Doctors Name

Blood Type

Father

Name

Occupation

Telephone

Mobile

E-mail
Facebook

Twitter

Mother

Name

Occupation

Telephone

Mobile

What's app

E-mail
Facebook

Twitter

What's app

lease, List 2 names and numbers of direct relatives in case


P
parents are out of reach.

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