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Steps for registration:

1) By Internet: Fill out the Application for Registration (below).
2) By Fax: Fill out the Application for Registration and send it by fax to number 01(444) 817 4100. This must be delivered in the bus or at the camp.

Steps to make payments:
1) Initial payment to reserve a place ( US $150.00)
  a)Wire Transfer: HSBC CLABE (Standardized Bank Code) 021180040406147523 in the name of Oscar Valle Portilla. Send an e-mail with the folio number to pagos@quintacamp.com.
  b)Deposit: Account: HSBC 4040614752 in the name of Oscar Valle Portilla. Send the deposit slip with the name of the boy (girl) by fax to number 01444 817 4100,
2) Final payment
  a) Check in the name of Oscar Valle Portilla, which must be delivered in the bus or at the camp together with the initial payment receipt. .
 
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Desired camp:
 
Data of Boy (Girl)
Name
Last Name
Middle Name
Street
 External # Internal #
City District
ZIP Code
Delegation
Municipality
State
Country
Date of Birth
Age:
Child's e-mail
 
Parent or guardian:
 
Name
Last Name
Middle Name
Tel1:
Tel2:
    
Father's Cellphone
Mother's Cellphone
    
Father's e-mail
Mother's e-mail
    
           
Person in charge when parents are not available::
 
Name:
    
Tel1:
Tel2:
    
Cellphone
        
 
Form of arrival: Form of departure:
 
Payments:
  
Initial Final      
Form of Payment
      
Amount
      
Reference
      
Bank
     
         
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Medical
Blood type:  
Has your child been recently operated? Of what?
Is your child under medical treatment? Which one?
Is your child forbidden from performing an activity? Specify
Is he/she allergic to something? To what?
Does your child suffer any nocturnal alteration? (For example, sleepwalking)?
 
Comments
 
 
 
      
 
                     
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