Fun Seekers, Phuket Thailand - Adventure Camps

REGISTRATION FORM

Please submit this form to register your child(ren). Once the deposit has been received by Fun Seekers, a fax/e-mail will be sent to you to confirm the child(ren)'s place on the camp.

Camp 1 (28 Mar- 4 Apr)
Camp 2 (11 Apr - 18 Apr)
Surname:
E-mail:
Address:

Campers Name	Male/Female	Date of Birth	Medical Information

Parents/Guardian Names:
Contact Numbers
Work:
Home:
Fax:
Other Contacts
Name:
Relationship:
Phone:
Address: