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Kirsten

Coordinator Fairaway

The trip

Destination

Personal data

First name:

Last name:

Gender:

Male

Female

Address:

House number:

Zip code:

City:

Email address:

Phone number:

Date of birth:

School details

School:

Education:

Class:

Preferences and wishes

I would like to travel together with:

Allergies:

Dietary requirements:

Medicine use:

Parents / caretakers

Name parent / caretaker:

Phone parent / caretaker:

Email address parent / caretaker:

Questions & comments

Do you have questions and / or comments?

How did you find us?

Directly after signing up, you will receive an e-mail with your confirmation. Within several days you will receive another e-mail with instructions, including a request for a €150 deposit, which is required to finalise your application.

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