Real Betis Academy International Lima

Real Betis Camp Lima, Perú

for who?

boys and girls

ages

5 - 16 years

location

Lima, Perú

Issam Marouan

phone

(+51) 918 132 834

register

DETAILS OF THE MOTHER, FATHER OR GUARDIAN

Name

First Surname

Second Surname

DNI

Phone

Mobile phone

AUTHORIZED PERSONS

Name

First Surname

Second Surname

DNI

Emergency contact name

Emergency contact telephone number

PLAYER DETAILS

Name

First Surname

Second Surname

date of birth

Province

Do you suffer from any illness?

Yes No

Specify medical conditions

Do you suffer from any allergies?

Yes No

Specify allergies

Do you play for any team?

Yes No

Are you federated?

Yes No

Medical care

Social Security Private Insurance

No. Social security

No. Private insurance

How did you find out about the campus?

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* I have read and accept the Legal terms and privacy policyAlso confirming that I am of legal age.

*you must read and accept the legal notices and privacy policy.

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