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Education Through Recreation Since 1972™
   
 
 
Reservation for 1 or 2 campers
Please scroll down and complete the form
 
   Section 1: Child information
     
  Camper 1 Camper 2 / OR 2nd session Camper 1
  Family name   
First name   
 Sex  
 Birthdate  
 Mother toungue  
 Camper's Email  
     
 Country  
 Programme  
 Session  
     
 

To add a 2nd session for the SAME camper
simply select the 2nd session in the column for Camper2.
There is no need to put the name, etc, a 2nd time.
  Section 2: Optional extras
  Escorted (1)
Travel 		Accident/illness
insurance (2)		 Cancellation
insurance (3)		 Your accident / illness
insurance company (4)		 Your insurance
policy number
 Camper 1
 Camper 2
           
 Notes: (1) See Parent Guide for full details. To arrange for escorted travel, please download, complete, and return the Travel form PDF found in the Parent guide at least 30 days prior to commencement of the session.
  (2) Accident / illness insurance - cost per child /per session: € 75 for 2 wks / € 115 for 3 wks
  (3) Cancellation insurance - cost per child /per session: € 85 for 2 wks / € 125 for 3 wks
  (4) If you already have your own policy, enter your details here
           
  Section 3: Parent (or Guardian) information
Title   Address  
Family name   Line 2  

( Use this format 

 +41 22 990 9400 )
First Name   Town/City  

Tel - Daytime  
Parent Email   Post / Zip   Tel - Mobile  
    Country   Fax   
           
  Section 4: Payment method

Payment method 





 
Please see Section 5 of the Parent Guide or wait to receive the invoice for details of how to pay by Cheque, Postal Account, or Bank Transfer
 
 Secure page THIS SITE IS SECURE FOR VISA AND MASTERCARD TRANSACTIONS
Card  




Amount in Euros  
The deposit amount of €700 is payable at the time of the booking. If you wish to settle the balance or pay a different amount please mark it in this box.
Visa / Mastercard Number  
Expires   
/
Security Code   This is the 3 digit security code on the back of your card
Cardholder's name  
   
  Section 5: Special requirements / comments
  Specific requests (eg: request an additional session, specify a room mate, special dietary needs, etc.)
  
 
  Section 6: Declaration
We have read the general booking conditions (see the link below) and agree to those conditions stated therein. You will receive confirmation of your inscription by email or phone within one working day. Please contact us if you do not receive it.
  
    To help protect us from "spam", please answer this simple question:
          What is 3 plus 4? Answer: 
    
 
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