2022 Ages 10-12 English Camp Registration

2022_Engleski kamp (dob 10 - 12 godina)

Engleski kamp za djecu od 10 do 12 godina neće u cijelosti biti na engleskom jeziku međutim, i dalje će biti organizirane različite aktivnosti učenja engleskog jezika na kojima će kamperi moći uz nekoliko izvornih govornika steći nova znanja i vještine korištenja engleskog jezika. Cijena kampa je 1100kn.
English camp is for children aged 10 to 12. Camp will not be entirely in English, however, various English learning activities will continue to be organized where campers will be able to acquire new knowledge and skills by using English with a few native speakers. The price of the camp is 1100kn.
Informacije o kamperu (Camper Information)
Ime (First Name) i prezime (Last Name) *

First Name Last Name
Datum rođenja (DOB) *

Month Day Year
OIB (Croatian Residence ONLY) or Passport number (for non Croatian Residence ONLY) *
Broj zdravstvene iskaznice (Health Insurance Number) *
Spol (Gender) *

M Ž (F)
Razred (Grade) *
Naziv škole (Name of School) *
Veličina majce (T-shirt size)

98/104 110/116 122/128 134/140 146/152 Men's XS Men's S Men's M Men's L Men's XL Women's XS Women's S Women's M Women's L Women's XL
Ime prijatelja koji dolazi na kamp (Friend coming to Camp (Answer N/A if not applicable.))
Potrudit ćemo se da budu zajedno smješteni ali ne možemo obećati da će biti zajedno u sobi. (We try to make it possible for campers to be with a friend that they include on the registration, but we cannot promise they will be together in the same room.)
PARENT/GUARDIAN INFORMATION:
Ime roditelja (Parent’s/Guardian’s Name): *

First Name Last Name
Adresa (Address), Grad(City),Pošt. broj (Zip code), Država (Country ) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Broj mobitela (Cell No) *
Broj telefona (Phone No) *
E-mail *
Kontakt osoba u slučaju nedostupnosti roditelja/skrbnika (Person to contact in case of emergency) *

First Name Last Name
Telefon (Phone) *
Medicinski podaci o kamperu (Health Information about Camper)
Alergije (Alergies) *

Životinje (Animals) Trave/Pelud (Hay fever/Pollen) Lijekovi (Medicine) Hrana (Food) Ubodi od kukca (Insect Bites or stings) None
OTHER - pod "other" navesti ostalo ili detalje (Under other please give additional information)
Poremećaji i kronične bolesti (Chronic desease or disorder) *

upala uha (Ear infections) visoki tlak (High blood pressure) srčane bolesti i mane (heart disease) epilepsija (epilepsy) diabetes (diabetes) hemofilija (hemophilia) astma (asthma) vrtoglavica (dizziness or vertigo) noćno mokrenje (bed wetting) poremećaj spavanja (sleep disorders) slušni aparat, naoćale ili leće (hearing aid, glasses, or contacts) None
OTHER - pod "other" navesti ostalo ili detalje (Under other please give additional information)
Ima li vaše dijete tjelesno oštećenje ili invaliditet, poremećaj ponašanja ili psihički poremećaj? (Does your child have any physical disabilities, behavioral disorders, or psychological disorders?) *

Yes No
Ako ima, kakvu pomoć treba? Može li kamper sudjelovati u svim aktivnostima? (If yes, what assistance does he/she need? Can camper participate in all activities?)
Ažurirana imunizacija tetanusa: (Up-to-date tetanus immunization:) *

Yes No
Postoji li nešto što bi trebali znati više o vašem djetetu? (Is there any additional information that we should know about your child?)
INFORMACIJE O UPLATITELJU KAMPA (PAYMENT INFORMATION )
Napomena

Prijava na kamp bit će potvrđena nakon primljene uplate akontacije u iznosu od 100 kn. U slučaju nedolaska na kamp, ova se akontacija ne vraća. Ukoliko mi otkažemo kamp zbog vrlo loše epidemiološke situacije, sve uplate bit će vraćene u cijelosti. Molimo vas, nemojte ništa uplaćivati prema prošlogodišnjim podacima već pričekajte povratni email od DPB-a s ažuriranim podacima za uplatu. Molimo Vas da cjelokupni iznos kampa uplatite prije nego što kamp počne. Hvala Vam!

Note

Reservations for camp are confirmed after we receive the registration fee of 100 kn. Take note that this is a non-refundable fee. In the event that camp is cancelled due to the epidemiological measures, you will be reimbursed the whole amount. Please do not pay anything according to last year's data, but wait for an email from DPB with updated payment information. Please pay the full amount of the camp before the camp starts. Thank you!
IME (First Name) i PREZIME (Last Name) UPLATITELJA (Payer)

First Name Last Name
OIB UPLATITELJA (Payer's Identification Number - Croatian Residence ONLY. For non-residence put NA) *
ADRESA UPLATITELJA (Payer's Address)
Društvo prijatelja Biblije želi Vas ohrabriti da se uključite u kamp. Molim vas provjerite jeste li zainteresirani za sudjelovanje na jedan ili više dolje navedenih načina. (At DPB, we encourage each parent/guardian to get involved with the camp. Please check if you would be interested in doing one or more of the following :)
Bi li voljeli primati naš DPB House Newsletter?(Would you like to receive our DPB House Newsletter) *

Da Ne
KAKO DOPRINIJETI / WAYS TO GIVE

Molitva za kamp (Pray for the camp) Najava kampa u svojoj crkvi (Announce Camp at my church) Doniranje voća, sokova, grickalica kao što su pereci, čips, ostalo (Donate a frui, juice, snack like pretzels, chips Facebook (tagg-irati vas na post-ove kako bi proširili službu DPB-a (Allow us to tag you on Facebook posts in order to spread DPB House ministry) Lajkaj nas na Facebook-u (Like our Fan Pages on Facebook - DPB House, Društvo prijatelja Biblije)
Sponzorirajte kampera koji nije u mogucnosti platiti / Give a Camp Scholarship for a camper in need

25 Kn (approx. 3 €) 50 Kn (approx. 7 €) 100 Kn (approx. 13 €) 200 Kn (approx. 26 €) Ostalo upisati u prostoru ispod / Other fill in blank below
Drugi iznos Other Amount
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2022_Engleski kamp (dob 10 - 12 godina)

Informacije o kamperu (Camper Information)

PARENT/GUARDIAN INFORMATION:

Medicinski podaci o kamperu (Health Information about Camper)

INFORMACIJE O UPLATITELJU KAMPA (PAYMENT INFORMATION )