EMAÚS Caneças (Lisboa) : SOLIDARITY SUMMER 2024
YOUTH CAMP REGISTRATION FORM
I am applying
As a group (youth movement) : in this case, every person of the group registers & mentions the group's name in the last free space of this form
As an individual
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Nationality and mother tongue
*
Nationality
Mother tongue
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency contact
*
Full Name
Phone Number
English level
*
1
2
3
4
5
Note that English will probably be the main language during the camp
Gender
*
Male
Female
Other
Diet
*
Meat-eater
Only fish
Vegetarian
Gluten-free
Lactose-free
Any allergies ?
No one can work on an empty stomach
Do you have your driving licence ? For how long ?
Period of time you are applying for
*
01/07 - 14/07
15/07 - 28/07
05/08 - 18/08
19/08 - 01/09
Virtual group meeting
*
Friday 27th of June - 19:00 (GMT+1)
I can't make it on the 27th. Please contact me to arrange an individual timetable
Any question, comment, idea...
Free space to speak your mind
Just to be sure...
*
Submit
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