Sex*
FemaleMale
Last Name*

First Name*

Street*

ZIP*

City*

Country*

Date of Birth (e.g. 17.03.1993)*

Nationality*

Area code (e.g. +41)*

Mobile Phone*

Email (e.g. hello@kiwanisyouthcamp.com)*

Contact Person*

Contact Person Area code (e.g. +41)*

Contact Person Mobile Phone*

Relationship (e.g. Mother or father ...)*

Billing Email (e.g. hello@kiwanisyouthcamp.com)*

Food Specification

T-Shirt Size*
XSSMLXLXXL

Photos Video*
I understand that by attending the Youth Camp or related activities I agree to be photographed by any
means and allow Kiwanis the right to use photos, video or film likeness for any purpose without compensation or notice.
YesNo
Medical Treatment*
YesNo
Swimmer*
YesNo

Travelling with

Your message

upload signed rules (.jpg/.pdf/.png)*

Δ