Summer Camp Detailed Registration Form

EUSALP Summer Camp 2025

This form allows you to register for the EUSALP summer camp. It will take place in France at the Chalet de la Haute-Joux in Cerniebaud from September 1st to 6th, 2025. Travel expenses, accommodation, and meals are covered by the Erasmus+ program. The total cost for the week per participant is €50.
Personal Information
Name/Last Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Country of residence

FranceItalySloveniaAustriaSwitzerlandGermanyLiechtenstein
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Motivation
Could you share your motivation to join this summer camp ? Have you ever participated to a youth exchange or a summer camp in the past ?
Emergency Information
Who should we contact in case of emergency*
Emergency Contact's Name*

First NameLast Name
Phone Number*
Alt. Phone Number
E-mail*
example@example.com
Medical or food constraints.
Do you have any allergies, chronic illness, or medical conditions? If yes, please describe.
I hereby confirm that my physical conditions allow me to join outdoor activities such as small hikes.*

YesNo
Do you have any food restriction? If yes, please describe.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
I agree to pay the participation fees of 50 euros, before joining the Summer Camp.*

I agree
Should be Empty:

EUSALP Summer Camp 2025

Personal Information