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Summer camp
Last name (*)
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First name (*)
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Age (*)
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Sex (*)

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Nationality (*)
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First language (*)
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Confession
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General Health and particularities (allergies, medication) (*)
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Swimming (*)


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Photo passport
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Name of legal guardian (*)
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First name of legal guardian (*)
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Profession (*)
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Address (*)
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NPA (*)
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City (*)
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Country (*)
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Private phone
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Mobile phone (1) (*)
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Mobile phone (2)
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Email 1 (*)
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Email 2
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Week's number




Invalid Input		 Taux de change
CHF * 1.05 = $
CHF * 0.80 = €
Arrival (*)
Invalid Input		 Sunday
Date of departure
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Accommodation

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Programme




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French level


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English level (*)


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private courses
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Anti-Spam Anti-Spam
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General terms (*)
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           Chemin de Chantemerle 7 - CH-1807 Blonay        T +41(0)21 943 11 93    F +41(0)21 943 28 27                   membre AVDEP,FSEP   ISO9001                                Chantemerle 2012
           Design kapu13k