Declaration - Kalivas Camp

INSTRUCTIONS

Fill out this form.
Press the button to generate the declaration.
Print the statement and then you should consider your signature genuine (at a KEP, a police station, etc).
Send the declaration to the camp (by email, by post or in person).
Proof of identification will be required when leaving the camp with a child.

Personal information

Name

Surname

Father's name

Mother's name

Date of birth

Birth place

Passport/ID number

Phone

Place of residence

Street

Number

Post code

By signing this Parental / Guardian consent form, I give permission for my child (children)

Child surname/name

to leave / exit G.A. Kalivas S.A. camp with

Surname/name

Passport/ID number

Date of leave

and will sign any required documents on my behalf.

I hereby declare that I have received the consent of the third party mentioned above to share his / her personal data with Kalivas Camp for identification purposes during the child's exit/departure from the camp.