Complement your visit
Participant Sam's Club
Dolphin Emotions (Summer Camp)
Date of birth
Participant health information
Any specific health problems?
Does the participant take any medication?
Any special educational needs? If so, which ones?
Does the participant know how to swim?
Other observations and precautions to be taken:
For safety reasons and the risk of cross contamination, Zoomarine does not offer an alternative. This should be guaranteed by the guardians. Select the days the participant can eat the provided menu :
Autonomy, Socialization and Safety
Failure to comply with any of these conditions makes participation in the summer camp programme impossible.
The participant is able to express himself, in an understandable way, to any adult
The participant is able to understand and follow simple instructions and basic safety rules
The participant does not wear diapers and is able to ask to use the toilet
The participant eats autonomously
The participant is able to integrate into a group, respecting its dynamics and functioning
The participant has auditory hypersensitivity and / or to regular touch
Contact in case of emergency: (please indicate kinship, name and contact)
Who will bring / take the participant?
I authorize the use of images of the participant in the promotion of Zoomarine:
I authorize the sharing of images of the group activities with the other participants.
VAT (tax ID number)