Registration Form SPA Belgium

REGISTRATION FORM

First Name (Participant)

Nombre (participante)

Last Name (Participant)

Apellido (Participante)

Date of Birth (Participant)

Fecha nacimiento (Participante)

Gender

Fecha nacimiento (Participante)

Id Card (Participant)

Carnet de Identidad (Participante)

ID Card Expiring Date

Fecha caducidad Carnet identidad

Email (Participant)

Phone (Participant)

First Name (Parent)

Nombre (Padres)

Last Name (Parent)

Apellidos (Padres)

Email (Parents)

Phone (Parents)

Is the participant a competent swimmer?

Sabe nadar?

Does he/she has any medical conditions?

Problemas de salud?

Any food Intolerances, preferences or allergies (e.g- vegetarian/ vegan/ GF/ DF/ nuts)?

Alguna alergia alimenticia?

Does he/she has health insurance?

Seguro medico?

Do you usually play in a club?

Sueles jugar en algun club?

Where are you from?

De donde son?

Additional Info

Please, feel free to add any comments in the last paragraph regarding any circumstances or additional aspects we should know about to be ready in case it needs any special care or treatment (i.e.: Kids who have illnesses, such as epilepsy or diabetes, would have special needs, hearing or speech problems, down syndrome, etc...)