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Registration form

    STUDENT DATA

    Name and surname *

    Birthdate *

    Passport Number*

    Contact Phones *

    Email

    Weight*

    Talla *

    Shirt Size *

    Shorts Size*

    PERSONAL INFORMATION OF FATHER, MOTHER OR TUTOR

    Name and surname *

    Passport Number*

    Phone*

    Email *

    Address*

    City*

    Province *

    Postal Code*

    TURN

    JULY 1-15JULY 15-304-10 JULIO

    HEALTH INFORMATION

    If you must take any type of medication specify which and the mode of administration both in number of times a day and in amount of the administration dose.

    If you must follow any special diet, please specify which and provide information on the type of diet you should follow.

    COMMENTS

    AUTHORIZATION

    I authorize my child to participate in XPERT-CAMPS. It extends this authorization to the medical and surgical decisions that it is necessary to adopt in case of extreme urgency, always under the pertinent facultative direction, expressly renouncing to demand liability for injuries that could originate as a result of the activities that it carries out in the Campus, that I assume In its whole. Equally AUTHORIZES the participant to be able to carry out the activities foreseen in the program by the direction of the activity. Likewise, he certifies that the said young man has been given the vaccines that are regulated by age and do not suffer from infectious disease or other diseases that prevent him from attending sports normally. I further authorize the campus address so that I can process the personal data, images and / or videos of the minor for promotional informational use of the Campus.

    * By submitting this form you accept our privacy policy and legal notice.