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Cultural Park

Application Form
2nd Summer School of Greek Language and Culture
Olympia 2016
CONTACT AND PERSONAL INFORMATION. Please type or
write legibly.
Surname
_____________________________________________________________
Forename(s)________________________ Fathers
name______________________
Male / Female__________________
Nationality_____________________________
Date of
Birth______/_____/______________Age____________________________
Passport
Number______________________________________________________
Country________________________City_______________________________
____
Address_________________________________ Post
Code_____________________
Telephone
Number_____________________________________________________
Fax Number
__________________________________________________________
Email Address
_________________________________________________________
Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001
Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com

Cultural Park

Current Occupation (Please Select)


School Student
University Student

Employee

Freelancer

Guardians / Others who will accompany


Yes
No
If yes, please how many

(*Please sent the application to p-y@otenet.gr)


Guardians Information
Surname
_____________________________________________________________
Forename(s)______________________________________________________
____

Nationality
___________________________________________________________
Passport
Number______________________________________________________
Identity
Number_______________________________________________________

Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001


Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com

Cultural Park
SCHOOL PERIODS. Please select the period you would like to
participate
First Period (04 15/07/16)

Second Period (18

29/07/16)
Third Period (20 31/08/16)

ADDITIONAL INFORMATION
Do you know English?

Yes

No

Please Rate Your Level in Greek Language (From 0 To 6)


UNDERSTANDING
SPEAKING

Listening

Spoken Interaction

Reading
Spoken Production

WRITING

(*Please sent the application to p-y@otenet.gr)


To be signed by the Participant and the guardian, if needed
Participants signature ____________________ Date
________________
Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001
Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com

Cultural Park
Name __________________________________

Guardians signature ____________________ Date ________________


Name __________________________________

(*Please sent the application to p-y@otenet.gr)

APPLICATION DEADLINE
For the first and second period: Until 15-03-2016
For the third period: Until 15-04-2016
*Please sent the application to p-y@otenet.gr

PARTICIPATION FEES (*All taxes included)


FIRST PERIOD: 375 EUR
(290 EUR for residency / food + 85 EUR for the event participation)
SECOND PERIOD: 385 EUR
(310 EUR for residency / food + 85 EUR for the event participation)
THIRD PERIOD: 415 EUR
(330 EUR for residency / food + 85 EUR for the event participation)

Persons, who will accompany the participants and do not wish to


take part at the Summer Schools program, will be charged only for
the accommodation in the hotel.
Groups over 8 people will have a 10% discount in total.
Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001
Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com

Cultural Park
The residence includes:
Accommodation in a double room
Food (breakfast, lunch, dinner)
Free use of the swimming pool, the beach and the sunbeds.
Not included:

Transportation to and from the hotel.


Coffee and alcoholic / non-alcoholic beverages.

About the Hotel Epihotel Odysseas: Katakolo, Pirgos Ilias,


Peloponnese, Greece, www.hotelodysseas.gr

Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001


Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com

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