Naya Nature Enrolment Form: holiday camps Waiting list for October !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:Your 1st childFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Naya 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?YesNoYour second childFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What school does your child attend (if any)?Do you want to add a third child?YesNoYour third childFirst name*Family name*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What school does your child attend (if any)?Holiday camp / Inset day!!! WAITING LIST on Monday, Tuesday and Thursday !!!1st Attendee:* First name of the 1st child to enrol Pick your dates for the Winter camp!* The entire week of Winter holidays, Feb. 17th to 21st Monday 17th, all day Monday 17th, morning Tuesday 18th, all day Tuesday 18th, morning Wednesday 19th, all day Wednesday 19th, morning Thursday 20th, all day Thursday 20th, morning Friday 21st, all day Friday 21st, morningFull day: 8:30 - 16:30 - 59€ each day, 49€ per day for the whole week Morning: 8:30 - 12:30 - 32€ each morningEnroll for the Day Camp Monday, October 28th morning Monday, October 28th, all dayAICS Student, your school is closed! Full day: 8:30 - 16:30 - 59€ Morning: 8:30 - 12:00 - 32€Do you want to have extra time until 5:30 pm?*NoYes, for 14,80€ more per dayIf yes, please let us a comment with the extra day(s) you want.Do you want to enroll a second child? (5% sibling discount on the whole week)*YesNo2nd Attendee:* First name of the 2nd child to enrol Pick your dates for the Winter camp!* The entire week of Winter holidays, Feb. 17th to 21st Monday 17th, all day Monday 17th, morning Tuesday 18th, all day Tuesday 18th, morning Wednesday 19th, all day Wednesday 19th, morning Thursday 20th, all day Thursday 20th, morning Friday 21st, all day Friday 21st, morningFull day: 8:30 - 16:30 - 59€ each day, 49€ per day for the whole week Morning: 8:30 - 12:30 - 32€ each morningEnroll for the Day Camp Monday, October 28th morning Monday, October 28th, all dayAICS Student, your school is closed! Full day: 8:30 - 16:30 - 59€ Morning: 8:30 - 12:00 - 32€Do you want to enroll a third child? (10% sibling discount on the whole week)*YesNo3rd Attendee:* First name of the 3rd child to enrol Pick your dates for the Winter camp!* TThe entire week of Winter holidays, Feb. 17th to 21st Monday 17th, all day Monday 17th, morning Tuesday 18th, all day Tuesday 18th, morning Wednesday 19th, all day Wednesday 19th, morning Thursday 20th, all day Thursday 20th, morning Friday 21st, all day Friday 21st, morningFull day: 8:30 - 16:30 - 59€ each day, 49€ per day for the whole week Morning: 8:30 - 12:30 - 32€ each morningEnroll for the Day Camp Monday, October 28th morning Monday, October 28th, all dayAICS Student, your school is closed! Full day: 8:30 - 16:30 - 59€ Morning: 8:30 - 12:00 - 32€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?PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
