FICHA DE INSCRIPCIÓN

FORMULARIO DE INSCRIPCIÓN Y AUTORIZACIÓN

Datos del Padre, Madre o Tutor

NOMBRE
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APELLIDOS
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DIRECCIÓN
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Código Postal
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FECHA DE NACIMIENTO
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DNI/NIE:
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Teléfono de Contacto
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Teléfono de Contacto 2
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Personas Autorizadas

Personas autorizadas para la recogida del niño/a
Nombre
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Apellidos
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DNI/NIE:
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Nombre
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Apellidos
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DNI/NIE:
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Autorización
¿Autoriza la recogida de su Hija/o del campamento con Anaga Experience por las personas anteriormente citadas?
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DATOS DEL MENOR

NOMBRE
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APELLIDOS
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FECHA DE NACIMIENTO
Seleccionar fecha
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DNI/NIE
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¿Sabe Nadar?
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Es obligatorio seleccionar
ALERGIAS
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DESCRIBIR ALERGIAS
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Observaciones
(Cosas que debemos tener en cuenta sobre su salud, estado físico o hábitos de comida):
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