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P6 Residential AY 2017-18 Student information
P6 Residential Trip
Venue: Rayong
Dates: Wed - Fri 20 - 22 September 2017
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Please complete all fields in English.
Family Name of student
*
Your answer
First Name of student
*
Your answer
Nickname of student
*
Your answer
Current Class of student
*
6 Love
6 Joy
6 Peace
Gender of student
*
Male
Female
Passport number of student (for insurance coverage)
*
Your answer
Birthdate of student (ddmmyyyy, example: 31 August 2004)
*
Your answer
Medical conditions, if any
*
Your answer
Drug allergies, if any
*
Your answer
Dietary restrictions, if any
*
Your answer
Swimming ability of child (for kayaking activity)
*
Beginner
Intermediate
Advanced
Student Residential T-shirt Size
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S ( 36)
M ( 40)
L ( 44)
XL ( 48)
XXL ( 52 )
Home Address
*
Your answer
Email Address(es)
*
Your answer
Emergency Phone number 1 (please indicate relationship to child )
*
Your answer
Emergency Phone number 2 (please indicate relationship to child )
*
Your answer
Comments / questions (if any) :
Your answer
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