- Study Academy Vienna

Registration for Summer School Camp

First name *

Surname *

Date of birth *

Country *

Nationality *

Email address *

Mobile phone *

School name *

Male

Female

First name *

Surname *

Relationship to student *

Country *

Email address *

Phone (in case of emergency) *

Residential

Non-residential

E Card

EHI Card

Private medical insurance

Other insurance

I would like my child to be collected and personally transferred from and to the Vienna Airport - €75

Do you have allergies or other health issues? *

Do you take any medication? *

Do you have special dietary requirements? *

Week 1	Tick here	Week 2	Tick here
German		German
English		English
Spanish		Spanish
Math		Math
Science		Science
Art		Art

Code *