Surname:
Name:
Age:
5 6 7 8 9 10 11 12 13 14 15 16
Sex
Male: Female:
The Date of birth:
1981 1982
1983 1984 1985
1986 1987 1988
1989 1990 1991
1992 1993 1994
1995 1996 1997
1998 1999 2000
2001 2002 2003
2004 2005 2006
2007 2008 2009
2010 2011 2012
2013 2014 2015
2016 2017 2018
2019 2020 2021 01 02 03 04 05 06 07 08 09
10 11
12 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
30 31
Place of residence:
Address:
Phone:
E-mail:
Mis vahetusele soovite tuusiku:
1.vahetus 2.vahetus
3.vahetus 4.vahetus 5.vahetus 6.vahetus
How you prefer to pay:
Bank transfer Cash
About Mother
Surname:
Name:
Place of work (position):
Phone:
About father:
Surname:
Name:
Place of work (position):
Phone:
About child. Chronic illnesses (click to note)
How did you know about our camp?
From mass media
from friends
from advertising
other sources
On our camp "Chudeljandija" ("Vihasoo") we have some rules, which a child can not break:
no smoking
no using of spirits
no distributing and using drugs
no violation of safety rules
In case of violation, the administration can take measures
NB! The camp holiday permit is reserved after you have paid at least 50%!