Youth summer camp

Fill in the following form with the data of the person who will carry out the activity

Name of the participant*

Surname of the participant*

Birth date*

ID card or passport*

Phone number*

Email*

Adress*

City*

Postal Code*

Weekly price	(137€/week)
Week 1: 27/06 - 01/07 *
Week 2: 04/07 - 08/07 *	FULL
Week 3: 11/07 - 15/07 *	FULL
Week 4: 18/07 - 22/07 *	FULL
Week 5: 25/07 - 29/07 *	FULL
Week 6: 01/08 - 05/08 *	FULL
Week 7: 08/08 - 12/08 *	FULL
Week 8: 15/08 - 19/08 *	FULL
*(Mandatory to choose a minimum of two weeks)

Member of the Club Nàutic YesNo

Other comments

I have read and accept the terms and conditions