Allergies and intolerances e.g. food, medication, insect stings — or “none”

Regular medication name, dosage and times of intake — or “none”

Diet

Emergency contact — name

Emergency contact — phone number (with country code)

Person authorised to collect the participant at departure Only needed if your child won't take the transfer to the airport — otherwise leave blank.

I consent to IBZ Dortmund GmbH processing the health details of my child provided here (allergies and intolerances, medication, diet) to ensure care, catering and emergency treatment during the Sommerakademie. IBZ passes allergies and dietary details on to the kitchen of the Villa Wewersbusch and, in an emergency, to doctors or emergency services. The details are stored encrypted and deleted 30 days after the Sommerakademie ends. I can withdraw this consent at any time with effect for the future by emailing sommerakademie@ibz-dortmund.com; without these details IBZ can only provide care to a limited extent. Details in the privacy policy

Participant form