Schedule: (required)
 From 9:00 to 13:30h. From 9:00 to 15:00h. From 9:00 to 18:00h.

Entrance date (e.g. 22/06/2023): (required)

Exit date (e.g. 28/07/2023): (required)

Name and Surname of your son/daughter: (required)

Born date of your son/daughter (e.g. 28/06/2011): (requerido)

Shirt size:
 4 8 12 16 S M L

Which school do you attend?:

Address: (required)

City: (required)

Zip code: (required)

Father Name and mobile contact:

Mother Name and mobile contact:

Mobile and 3rd contact mobile: (optional)

Father email: (optional)

Mother email: (optional)

Do you want the school transport ¡LIMITED PLACES! Service only available in Elche:
 no just single just return round trip

Upload photo card

HEALTH INFORMATION SHEET

Still a special regime? (Fill in only if applicable)

Is he/she allergic to something? (Fill in only if applicable)

Do you receive any medical treatment? (Fill in only if applicable)

Parent observations considered relevant to the care of children (fill in only if applicable)

Attach Photo of SIP and Private Medical Society card (in case of private insurance have also added)

PARENTAL AUTHORIZATION

Mr. / Ms.: (required)

I authorize my son / daughter to participate in all scheduled activities in the course: (required)
 yes no

I authorize to use the image of my son/daughter for web, brochures, etc ...
 yes no

Persons authorized to collect my son / daughter are: (required)

PAYMENT "Payment of the summer colony can be made in cash or if you wish you can also make a deposit:"

INCOME: IBAN ES94 2100 4627 1922 0011 3731• BANKING HOLDER: Sports & Events DGL S.L.
C/ Ribadeo ,13 · 03139 Valverde (ALICANTE)

Place reservation: 50€ (Lost in case of cancelling)

1) EN CASO EXCEPCION DE SUSPENSIÓN TEMPORAL DE CLASES POR CAUSAS MAYORES (COVID, ETC), POR PARTE DE LA COLONIA LOS 12 PINOS SE DEVOLVERÁ LA PARTE PROPORCIONAL A LA ULTIMA SEMANA DE ESTANCIA CONTRATADA
2) EN LOS 3 PRIMEROS DÍAS HABRÁ QUE HACER EL INGRESO DE LAS SEMANAS CONTRATADAS SINO LA PLAZA SERÁ BAJA Y QUEDARÁ LIBRE.
3) NO SE DEVOLVERÁ EL IMPORTE DE LO CONTRATADO, AUNQUE TERMINE ANTES DE LAS FECHAS CONTRATADAS.