Third Culture Kamp 2018 Question Title * 1. Personal Information Name * Address * Address 2 * City/Town * State/Province ZIP/Postal Code * Country * Email Address * Phone Number incl. country code * Question Title * 2. Please list your child's name, date of birth, age and school First and Last Name Date of Birth Age School Question Title * 3. Please provide details of your child's health insurance Insurance Provider Policy number Question Title * 4. Passport number and nationality of child Passport Number Nationality Question Title * 5. Emergency contact details Name Relation to child Phone Number incl. country code Email address Additional/Alternative Emergency contact Question Title * 6. Can your child swim unassisted for 25 metres? Yes No Question Title * 7. What size t-shirt does your child require? Extra small Small Medium Large Extra Large Youth Youth Extra small Youth Small Youth Medium Youth Large Youth Extra Large Adult Adult Extra small Adult Small Adult Medium Adult Large Adult Extra Large Question Title * 8. Does your child have any allergies; Medical needs; Special requirements? Question Title * 9. Please share some of your child's interests and/or hobbies Question Title * 10. What are some of your child's favourite American candies? Finished