“The Four Elements of Nature and their Effect on Us”
Comenius Meeting in Porto- 19-25 January 2014
COMENIUS STUDENT INFORMATION FORM
To be completed by all students and forwarded to maria.g.cruz@gmail.com
PLEASE PRINT IN CAPITALS
Visit Porto – January 2014...
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“The Four Elements of Nature and their Effect on Us”
Comenius Meeting in Porto- 19-25 January 2014
COMENIUS STUDENT INFORMATION FORM
To be completed by all students and forwarded to maria.g.cruz@gmail.com
PLEASE PRINT IN CAPITALS
Visit Porto – January 2014
Name of Student First name Surname
Gender Male Female Date of Birth Age Country
Parents/Guardians ´names
Home Address
Parent ´s Email Student´s Email
EMERGENCY CONTACT NUMBERS Home Mobile –
Student mobile
Medical information
Asthma/allergies
Date of last tetanus injection
if known
Food
( indicate food not eaten for
religious, ethical or health
reasons)
Languages spoken
Interests
Any other information which
may be useful in an emergency
for the host family/teachers
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