The British Summer School in Athens 2017

Στοιχεία Παιδιού / Child's Details

Παρακαλούμε να συμπληρώσετε τα ακόλουθα στοιχεία του παιδιού (ή των παιδιών) σας με πεζά γράμματα. Please fill in the following details for your child (or children) in lowercase.

Child's first name
Child's last name
Date of birth
2nd child’s details
Child's first name
Child's last name
Date of birth
3rd child’s details
Child's first name
Child's last name
Date of birth
Address
District
Postal code
Town
Home phone number
Father’s full name
Mother’s full name
Father’s mobile number
Mother’s mobile number
Father’s work number
Mother’s work number
Father’s email address
Mother’s email address
School Bus Number (for current pupils of I.M.Panagiotopoulos School only)

Πρόσθετα Στοιχεία Επικοινωνίας / Additional Contact Information

Σε περίπτωση ανάγκης, αν οι γονείς δεν απαντούν, μπορούμε να επικοινωνήσουμε με:
In case of emergency, if we can’t reach either parent, we can contact:

Full name
Relationship to child
Contact numbers

Ιατρικές απαιτήσεις / Medical Requirements

Child’s blood type
Can the child swim without the help of a life vest?
Fainting fits
Allergies
What type of allergy?
Is the child taking any medication?
Is there anything else we should know about your child’s medical requirements?

Ιατρικές απαιτήσεις 2ου παιδιού / Second Child Medical Requirements

Child’s blood type
Can the child swim without the help of a life vest?
Fainting fits
Allergies
What type of allergy?
Is the child taking any medication?
Is there anything else we should know about your child’s medical requirements?

Ιατρικές απαιτήσεις 3ου παιδιού / Third Child Medical Requirements

Child’s blood type
Can the child swim without the help of a life vest?
Fainting fits
Allergies
What type of allergy?
Is the child taking any medication?
Is there anything else we should know about your child’s medical requirements?

ΠΡΟΣΟΧΗ! Αν το παιδί σας ΔΕΝ είναι μαθητής/τρια της Σχολής Ι.Μ.Παναγιωτόπουλου, σας παρακαλούμε να στείλετε μία ιατρική βεβαίωση υπογεγραμμένη από παιδίατρο στο bc@impanagiotopoulos.gr ή στο fax: 210-66-69-002

ATTENTION! If your child is NOT a student of I.M.Panagiotopoulos School, please send a medical report signed by a pediatrician at bc@impanagiotopoulos.gr or fax: 210-66-69-002