Surname *

Last Name *

E-Mail *

Address *

Gender * femalemale

City *

ZIP Code *

School *

Birthday (year/month/day) *

Where are you from/ Nationality? *

Which camp do you want to register for? freelykick football camp SHANGHAI 2018freelykick cricket camp SRI LANKA 2018

English level beginnerintermediatefluent

Diet Restrictions

Does your child have any allergies and/or intolerances to food, medication or any other substances?

Parent/ Guardian Name *

Phone/ Emergency Contact *

Relationship to child *