Registration Form Camp EPO

Registration form holiday camps

Club Samedis Malins holiday camps – 20% covered by the Amicale of the EPO The dishes are hot and fresh, Snacks are included throughout the day.
For any inquiries, please call 0031-617449013
Parent - guardian information section
Last name*
Address*

Street & number

Complément d'adresse

CityÉtat/Région

Zip code
Phone parent 1*
Email parent 1*
Phone parent 2
Email parent 2
Pick Up/Drop Off Location*
Pricing information for Samedis Malins holiday camps
- If you choose 4 or 5 days, you have the option to include transportation.
- Pickup Locations: Children can be picked up from the :
        1 - European Patent Office 8:30AM - 5:30PM
        2 - French School 8:30AM - 5:30PM
        3 - European School 8:45AM - 5:45PM

Important: If you choose 1, 2, or 3 days, the price is €68 per day, with meals/snacks and transport included.

Please leave the “transport” fields empty or select No.

Full pricing breakdown after the - 20% Amicale contribution

5 Days camp
- Base price with meals/snacks included €252
- Transport (optional) €28
- Total with meals/snacks & transport €280
4 Days camp
- Base price with meals/snacks included €213
- Transport (optional) €28
- Total with meals/snacks & transport €241
1, 2, or 3 Days camp
- Per day with meals/snacks & transport €68
Child information and camp choices

1st Child
C1-First Name
C1-Age
C1-Language
C1-Departure
Child 1-Camp 1
C1-1-Days
C1-1-Specific days
C1-1-Transport
Child 1-Camp 2
C1-2-Days
C1-2-Specific days
C1-2-Transport
Child 1-Camp 3
C1-3 -Days
C1-3-Specific days
C1-3-Transport
Medical information (treatment, diet, etc.)

2nd Child
C2-First Name
C2-Age
C2-Language
C2-Departure
Child 2-Camp 1
C2-1-Days
C2-1-Specific days
C2-1-Transport
Child 2-Camp 2
C2-2-Days
C2-1-Specific days
C2-2-Transport
Child 2-Camp 3
C2-3-Days
C2-3-Specific days
C2-3-Transport
Medical information (treatment, diet, etc.)

3rd Child
C3-First Name
C3-Age
C3-Language
C3-Departure
Child 3-Camp 1
C3-1-Days
C3-1-Specific days
C3-1-Transport
Child 3-Camp 2
C3-2-Days
C3-2-Specific days
C3-2-Transport
Child 3-Camp 3
C3-3-Days
C3-3-Specific days
C3-3-Transport
Medical information (treatment, diet, etc.)

Form validation
Public liability insurance
Name of the company*
Insurance number*
Total to be paid - When you pay please add your last name as info
Authorization and certification
Signature
Should be Empty:

Registration form holiday camps

For any inquiries, please call 0031-617449013

Parent - guardian information section

Child information and camp choices

Public liability insurance

Authorization and certification

Signature