2012

Application form for tennis camp 2012

Application Form:

Fill in this form and send it to our e-mail address by pressing the "send" button

Participant sheet:

First name, Surename:
Birth date:	(dd/mm/rrrr)
Insurance company:
E-mail:
Home address:
Town/City:
Post code:
Country:
Telephone home:	(international format)
Telephone office:	(international format)

For parents who dispatch their children alone, handed at the arrival

First name, Surename:
Home address:
Town/City:
Post code:
Country:
Telephone home:	(international format)

Playing level: (make a choice of possibilities)

Beginner
Intermediate
Upper intermediate
Competitive player

Camp date:

Kutná Hora I. 1.7. – 6.7.2012
Kutná Hora II. 8.7. – 13.7.2012
Kutná Hora III. 15.7. – 20.7.2012
Kladno I. 22.7. – 27.7.2012
Kladno II. 29.7. – 3.8.2012
Kladno I. + II. 22.7. – 3.8.2012
Kutná Hora IV. 5.8. – 10.8.2012
Pula - Croatia 25.8. – 1.9.2012

Size of T-shirt:

S
M
L
XL
XXL

FUTHER INFORMATION:

Medical restrictions and medicines:

Demands for accommodation:

Other notice for the head coach:

How did you learn about our camp?

Your application will take effect once the deposit of 130 € (Pula 350 €) will be sent. The variable symbol are the first six numbers of the players personal identity number.

BANK:

Bank:	Ceská sporitelna
Name of account:	Stanislav Parizek
Number of account:	IBAN: CZ39 0800 0000 0000 1804 1329 BIC: GIBACZPX
Variable symbol:	birth number or date of birth

PRICE:

Kutná Hora I.	360 €	(NEW - accommodation in the U Kata hotel)
Kutná Hora II.	360 €	(NEW - accommodation in the U Kata hotel)
Kutná Hora III.	360 €	(NEW - accommodation in the U Kata hotel)
Kutná Hora IV.	360 €	(NEW - accommodation in the U Kata hotel)
Kladno I.	360 €	(490 € in case of luxurious accommodation in a Hotel)
Kladno II.	360 €	(490 € in case of luxurious accommodation in a Hotel)
Kladno I. + II.	650 € (+ weekend)	(1100 € in case of luxurious accommodation in a Hotel)
Pula (CRO)	680 € (without food)	+-15% tolerance in dependence on the accomodation price

The deposit is 130 Eur, (Pula 350 Eur). The additional charge must be paid at the camp to our account, write down participant´s birth number as variable symbol. We provide an invoice for the employees of companies, that financially support sport and children camps.

Declaration

I accept, that my child is during the camp liable to the rules of the camp (we will make him aquaint with it just after the arrival). In the case the child would default to the rules, it could be dismissed from the camp, without returning the charge. We are ready to take the child away in case of deterioration of the childs health. I declare, that I do not know about any infectional diseases my child could suffer or come to contact with and I accept any financial and legal consequences in case my declaration would not be true.

Fill in this form and send it to our e-mail address by pressing the "send" button

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