Naya Nature Enrolment Form: holiday camps & Inset days (studie dag) 1 Information about yourself2 Children you want to enroll3 Your programme 4 Email address* First name*Family name*Phone 1*Phone 2*Address* Street Address Address Line 2 City ZIP / Postal Code How did you discover us? School Search engine Social media Family / friends OtherPlease specify:1st child you want to enrollFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Naya Nature Camps are open to children from 4 to 10 yrs.What school does your child attend (if any)?Do you want to add a second child?YesNoSecond child you want to enrollFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What school does your child attend (if any)?Do you want to add a third child?YesNoThird child you want to enrollFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What school does your child attend (if any)?Holiday camp / Inset dayStudie dag / Inset day: is your school closed? Enroll for the Day Camp Monday, April 9th Wednesday morning, May 20th Monday, June 2ndFull day: 8:30 - 16:30 - 75€ Half day: 8:30 - 12:30 - 37,50€Pick your dates for your Summer camp in July! July 13th to 17th, the entire week Monday Jul. 13th Tuesday Jul. 14th Wednesday Jul. 15th Thursday Jul. 16th Friday Jul. 17thFull day: 8:30 - 16:30 - 75€ each day, 68€ per day for the whole weekPick your dates for your Summer camp in August! August 10th to 14th, the entire week Monday Aug. 10th Tuesday Aug. 11th Wednesday Aug. 12th Thursday Aug. 13th Friday Aug. 14thFull day: 8:30 - 16:30 - 75€ each day, 68€ per day for the whole weekDo you want to have extra time until 5:30 pm?*NoYes, for 11,80€ more per dayIf yes, please let us a comment with the extra day(s) you want.General terms and conditions* I have read and accept the General terms and conditions Nota: This is not an online sales website. By submitting this form, you are simply indicating your interest in our programme.Picture and video Policy* I have read and accept the Picture and video Policy In case you don't fully agree with our Picture and video Policy, please let us know, by writing a note in this form or by email.Do you want to leave us a comment? Do you want to book different days per child? Please let us know!Mailing listSending the form generates an automatic subscription to our newsletter Mailchimp (3-4 issues per year - only your name and city are kept in this list). You can unsubscribe from this list at any time by email info@nayanature.nl or via the link at the end of each newsletter.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
