Health Camp 2019 – Online Registration Form 1 Guest Type / Age Group2 Seminar Days3 Meal Arrangement4 Primary Contact Information5 Other Options / Payment ProcessingLet's start the registration process.Select which type of guest you will be. Stay In, Day Guest or Camper. Then select the age group of the primary registrant. 1. Stay In guest will be charged with meals (breakfast and lunch) for the days they will attend. 1 day x 2 meals = 15EUR. Children age 4-11 is half the price, 7.50EUR. Dinner is optional. 2. Check-in starts 12 noon of 11 August 2019. Dinner for this day is optional. 3. Check-out is 12 noon on 18 August 2019. Breakfast and Lunch provided.Guest Type*Stay InDay GuestCamperYou're attending as a camper.Please choose the age groups of campers, tick all that applies ....* 12+ years old 4-11 years old 0-3 years old (FREE)How many persons age 12+? ....*12345678910How many persons age 4-11? ....*12345678910You have selected Day Guest.Choose Your Age Group.*17+ years old12-16 years oldAdult 17+ years old, Room Options & Number of Person/sRoom Options*Double Bedroom with Shower/Toilet - €33Double Bedroom with Shared Shower/Toilet - €29Single Bedroom with Shower/Toilet - €36Single Bedroom with Shared Shower/Toilet - €31How many persons?*12345Do you have children or sibling/s attending with you?*YesNoTheir Age Group. Click all that apply.* 12-16 years old 4-11 years old 0-3 years old (FREE)Youth: Age 12-16 Room Options*Double Bedroom with Shower/Toilet - €25Double Bedroom with Shared Shower/Toilet - €22Single Bedroom with Shower/Toilet - €27Single Bedroom with Shared Shower/Toilet - €23How many persons age 12-16?*12345Children/Sibling: Age 4-11 Room Options*Room with Shower/Toilet - €20Room with Shared Shower/Toilet - €18How many persons age 4-11?*12345Day Guest - 17+ years oldHow many persons age 17+? ..12345Day Guest Adults - 10EUR per day; Meal Not Included.Do you have children or sibling/s attending with you? ..*YesNoTheir Age Group. Click all that apply. ..* 12-16 years old 4-11 years old 0-3 years old (FREE)How many persons age 12-16? ..*12345How many persons age 4-11? ..*12345Day Guest - 12-16 years oldHow many persons age 12-16? ...12345Day Guest Below 17 years old - 5EUR per day; Meal Not Included.Do you have younger sibling/s attending with you? ...*YesNoHow many persons age 4-11? ...*12345 Please select the Days you would like to attend then click Next.* August 11 Dinner is optional, you will be given option to select it later in the form.Day 1 11 August 2019Day 2 12 August 2019Day 3 13 August 2019Day 4 14 August 2019Day 5 15 August 2019Day 6 16 August 2019Day 7 17 August 2019Subtotal (with room options)* Price: 0,00 € Subtotal (Meal/s)* Price: 0,00 € Subtotal (without Meal/s) ..* Price: 0,00 € Subtotal (without Meal/s) ...* Price: 0,00 € Subtotal (without Meal/s) ....* Price: 0,00 € Would you like to be served with meal/s?*YesNoPlease select the meals you would like to book based on the dates you selected in the previous section.Meal: 11 August 2019* DinnerMeal: 12 August 2019* Breakfast Lunch DinnerMeal: 13 August 2019* Breakfast Lunch DinnerMeal: 14 August 2019* Breakfast Lunch DinnerMeal: 15 August 2019* Breakfast Lunch DinnerMeal: 16 August 2019* Breakfast Lunch DinnerMeal: 17 August 2019* Breakfast Lunch DinnerMeal: 18 August 2019* Breakfast LunchSubTotal: Meal/s .. Price: 0,00 € SubTotal: Meal/s ... Price: 0,00 € SubTotal: Meal/s .... Price: 0,00 € Primary Contact / Billing InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. 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One line per each complete name. Write N/A if not applicable.Youth Participants 12-16 years old.*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Youth Participants 12-16 years old. (Day Guest)*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Youth Participants 12-16 years old. (Day Guest)*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Children Participants 4-11 years old.*Please list the children (4-11 years old). One line per each complete name.Children Participants 4-11 years old. (Day Guest)*Please list the children (4-11 years old). One line per each complete name.Additional Camper participants.*Please list the other Adults (12+ years old) that you would like to register. One line per each complete name. Write N/A if not applicable.Children Participants 4-11 years old. (Camper)*Please list the children (4-11 years old). One line per each complete name. Optional Items / PromotionsDinner 11 August 2019 12 August 2019 13 August 2019 14 August 2019 15 August 2019 16 August 2019 17 August 2019Subtotal: Optional Price: 0,00 € Subtotal: Optional .. Price: 0,00 € Subtotal: Optional ... Price: 0,00 € Subtotal: Optional .... Price: 0,00 € Total Bill for all options selected.Below is the total amount based on the selections you have made. Click PREVIOUS to modify options. Otherwise, click the preferred option to pay the total amount.Total 0,00 € Payment Methods*Bank TransferPaypal / Credit CardPlease initiate an electronic payment using the following bank information: Account Name: Male Bone Laing Bank and Branch: Sparkasse Mainfranken Würzburg IBAN: DE207905000000449137 88 SWIFT-BIC: BYLADEM1SWU Payment must be received within 3 days upon submission of registration.Thank for your registering. Your registration is almost complete. When you click the Submit button below, you will be taken to the PayPal login screen for processing of the payment.Please proceed when ready.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.