Pre-registration form 2025 - 4elementsgalicia

Pre-registration

Parent / Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Which programs are you inquiring about?(Required)

Teen Camp (ages 12-16)

Kids Camp (ages 8-12)

Forest School (ages 3-8)

Language

How many children would attend our program(s)?(Required)

Child #1 Name(Required)

Child #1 Gender(Required)

Child #1 Date of Birth(Required)

Child #1 Relevant Medical History

Child #2 Name

Child #2 Gender

Child #2 Date of Birth

Child #2 Relevant Medical History

Child #3 Name

Child #3 Gender

Child #3 Date of Birth

Child #3 Relevant Medical History

Child #4 Name

Child #4 Gender

Child #4 Date of Birth

Child #4 Relevant Medical History

Please read carefully and select to authorize the following topics:(Required)

I authorize the sending of communications about activities carried out by 4 Elements Galicia that may be of interest to me

I authorize the sending of communications via e-mail and/or WhatsApp necessary for the correct functioning of the camps/extracurricular activities *

I have read and accept Privacy Policy