1st Erasmus+ camp in Slovakia

Bullying and cyberbullying in the world of silence and not only

Be CyberWise!
2020-1-RO01-KA229-080106

This project was funded with the support of European Comission

Questionaire about medicine, allergies and food

All this information is needed for safety of the participants in case of medical need and for planning the menu.

ALL PARTICIPANTS must fill the form in. Send it to email: eva.mendelova@zsbystricany.info by 15th September 2021.

Name of the participant: Pedro Miguel Faria Gomes

Country of participant: Portugal

1. What kind of medicines do you take? Please write down the name. ONLY STUDENTS!

None.

2. Do you have any allergies? If yes, state what you are allergic to. ONLY STUDENTS!

No, I don’t.

3. Do you have any food intolerance or religious exclusions? (e.g. intolerance to lactose, gluten and other;
vegetarian; you can't eat pork etc.) ALL PARTICIPANTS – TEACHERS AND STUDENTS!

No, i don’t.

4. Do you have any other health conditions we should be aware of? ONLY STUDENTS!

No, i don’t.

All the information will be utterly confidential and we will keep it private. After the camp the questionaires will be
shredded.

Eva Mendelová

Slovak Erasmus+ coordinator