1. Your child's personal details

1. Family name *
   
2. Date of birth (dd.mm.yyyy) *
   
3. Mother tongue *
   

1. First name *
   
2. Nationality *
   
3. Sex *
   f m

1. Has attended the ISC & JGA before: Yes No
2. Name of parent / guardian *
   
3. Home address *
   

1. Zipcode *
   
2. Contact telephone *
   
3. Email address *
   

1. City *
   
2. Mobile *
   
3. Fax
   

1. Address for invoice (if different from home address)
   

1. Zipcode
   
2. Email address
   

1. City
   

2. Course you wish to register for *

Which course do you wish to register for?

3. Participant's school details *

Please answer the questions below to facilitate placement in the appropriate class at the International Summer Camp & Junior Golf Academy

1. How would you rate your child's ability in English/German?
   English: --- Please select --- 0 (complete beginner) 1 2 3 4 5 (advanced)     German: --- Please select --- 0 (complete beginner) 1 2 3 4 5 (advanced)

4. Junior Golf Academy

1. What is your level of ability in golf?
   --- Please select --- Beginner Ability to the golf course / PR (Platzreife)
2. Handicap
   
3. I need a golfbag at CHF 200.- (rental cost) Yes No

5. Medical Information

1. Has your child ever suffered from any serious condition or allergies?
   Yes No
2. Is your child undergoing a course of medical treatment?
   Yes No
3. Has your child had a serious illness within the last 12 months?
   Yes No
4. Is your child allergic to any medicines or to anaesthetics?
   Yes No
5. Will your child bring any medicines to the Lyceum Alpinum?
   Yes No
6. Does your child have any mental/physical problems that we should know about?
   Yes No
7. If you have answered "Yes" to any of the questions, please give details:
   

I authorise the Lyceum Alpinum Zuoz to give consent to any medical treatment as may be reasonably necessary if recommended by a medical practitioner.

6. Food

1. Is there any food which your child cannot eat? Yes No
2. If yes, please give details:
   

7. Transportation

Zuoz is a 3-hour-drive from Zurich International Airport.

1. Would you like your child to be picked up and accompanied from and to Zurich Airport?
   Yes No
2. Trips to be booked Zurich Airport - Zuoz Zuoz - Zurich Airport

The cost for this service amounts to CHF 390.- one way, CHF 780.- return trip.

8. Cancellation cost insurance

I wish to take out the school's cancellation cost insurance

1. Yes No

9. Discipline and conduct

The Lyceum Alpinum Zuoz reserves the right to send any participant home at their own expense, who through unacceptable behaviour deliberately causes disruption during the course of the International Summer Camp & Junior Golf Academy. All participants are bound to comply with the rules and regulations of the school's boarding house.

Smoking and drinking alcoholic beverages is forbidden during the International Summer Camp & Junior Golf Academy.

10. Declaration

As parent or guardian, I hereby declare that I accept the conditions of payment, as well as the school regulations and that I authorise the Lyceum Alpinum Zuoz to look after my child's welfare while they are at the International Summer Camp & Junior Golf Academy.
This contract is subject to Swiss law. Place of jurisdiction is Zuoz, Switzerland.

11. More Information

I wish to receive more information about the Lyceum Alpinum Zuoz.

1. Yes No
2. I accept the conditions of payment as well as the school regulations.

1. 
2. Security Code (Please enter the code above)

 These boxes must be completed.