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VERDIÉ OPEN CLASS
FICHE SANITAIRE DE LIAISON
Votre enfant va prochainement partir en voyage scolaire. Vous trouverez ci-dessous toutes les informations à
communiƋuer au professeur organisateur afin Ƌu͛il puisse complĠter correctement la liste des participants au
voyage. Nous vous remercions de porter une attention particulière aux informations indiquées, celles-ci sont
importantes afin d͛assurer une organisation optimale du sĠjour. Les champs suiǀis d͛une Ύ sont obligatoiresIDENTITÉ DE L'ÉLÈVE
Nom* " " " " " " " " "" " " " " " " " " Prénom* " " " " " " " " " " " " " " Né(e) le* " " " " " " " " " " " Nationalité* " " " " " " " " " " " " "Sexe* : ެ Garçon ެ
Mail " " " " " " " " " " " " " " " " " " " "
Téléphone : " " " " " " " " " " " " " " " " " " " " Type de document d'identité* " " " " " " " " " " " " " " " " " " " " " " " " " " " " " N° du document* " " " " " " " " " " " " " " " " " " " " " " "Date d'expiration* " " " " " " " " " " "
Pays de délivrance* " " " " " " " " " " " " " " " " " " " " " "RESPONSABLE LÉGAL DE L'ÉLÈVE
Nom* " " " " " " " " "" " " " " " " " " Prénom* " " " " " " " " " " " " " " Adresse 1 " " " " " " " " " " " " " " " " " " " " " " Adresse 2 " " " " " " " " " " " " " " " " " " " " " " Adresse 3 " " " " " " " " " " " " " " " " " " " " " " CP " " " " " " " " " " " Ville " " " " " " " " " " " " " " " " Coordonnées téléphoniques (joignable pendant le séjour)* " " " " " " " " " " " " " "E-mail " " " " " " " " " " " " " " " " " " " " "
SANTE & ALIMENTATION
HANDICAP : ެ Non ެ
Précision sur les besoins G MVVLVPMQŃH : " " " " " " " " " " " " " " " " " " " " " " " " " "
SPECIFICITES ALIMENTAIRES (*0HUŃL GH SUpŃLVHU OH GHJUp GH O MOOHUJLH VpYqUH RX OpJqUH HP GH vous
rapprocher du professeur organisateur) :SPECIFICITES DE SANTE (*Merci de précisHU OH GHJUp GH O MOOHUJLH (sévère ou légère) et de vous rapprocher
du professeur organisateur) : AUTRE PARTICULARITE :" " " " " " " " " " " " " " " " " " " " " " " " " " " " " " "quotesdbs_dbs2.pdfusesText_3