Registration in English

MIBA Summer CAMP'24 in Senica
registration from 2.1.-5.1.24.

Registration form

your email

NAME, SURNAME AND DATE OF BIRTH OF THE CHILD (DD.MM.YYYY.)

HOW MANY YEARS DOES A CHILD TRAIN IN BASKETBALL?

NAME, SURNAME, E-MAIL, MOB. No. AND THE ADDRESS OF THE CHILD'S LEGAL REPRESENTATIVE

CHILD'S HEALTH CONDITION AND DECLARATION

IS your child SUFFERING FROM CHRONIC OR CONGENITAL DISEASES?
IS your child ALLERGIC?
IS your child ASTHMATIC?
IS child TAKING SOME MEDICINE?
IS your child SUFFERING FROM SOME MENTAL ILLNESS?
IS your child SUFFERING FROM SOME SKIN DISEASE?
does your child HAS A SPECIAL TYPE OF diet?
I DECLARE THAT THE STATE HEALTH SUPERVISION AUTHORITY NOR THE ATTENDING DOCTOR HAS NOT ORDERED THE CHILD OR ITS PARENTS OR OTHER PERSONS WHO LIVE WITH THEM IN THE COMMON HOUSEHOLD TO QUARANTINE MEASURES (QUARANTINE, INCREASED MEDICAL SURVEILLANCE OR MEDICAL SURVEILLANCE) AND THAT I HAVE NOT WE DIDN'T EVEN KNOW THAT IN THE LAST WEEK) THE CHILD, HIS PARENTS OR OTHER PERSONS LIVING WITH THEM IN THE COMMON HOUSEHOLD CAME INTO CONTACT WITH PERSONS WHO FELL FROM A COMMUNICABLE DISEASE. I AM AWARE OF THE LEGAL CONSEQUENCES THAT WOULD AFFECT ME IF THIS STATEMENT OF MYS WAS FALSE.

NOTES ON THE HEALTH CONDITION OF THE CHILD

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