Golden Fish

Application

Thank you for the trust you express in us by submitting your application. Filling out the form will take approximately 15 minutes. If you have questions or encounter problems, call us at +420 223 012 660. We will contact you no later than five working days after you submit your application.

Form

Unable to make a choice? Call us at +420 223 012 660.

Are you aged 15 years or older? If not, the application must be completed by your legal guardian.

General information about you

Personal Information

Sex*

Parents / legal guardians

Fill in information for at least one parent

Are both parents the child's legal guardians?*

Other legal guardians (other than parents)

Is your legal guardian someone else other than your parents?*

Contact for the child's physician

Consent to the processing of health data

By submitting your application, you consent to the processing of data about your health (or the health of the child for whom you are the legal guardian) by the administrator Zlatá rybka, z.ú., for the purpose of fulfilling the child's wish. You can revoke your consent at any time.

Privacy protection and processing of other personal data

In order for Zlatá rybka to fulfill its mission and grant the child's wish, it needs to obtain, store, and process personal data about the child and their legal guardian. However, we want to assure you that your data is safe with Zlatá rybka. We only share information about the wish fulfillment process with the public in an anonymous or modified form. This protects your privacy while allowing Zlatá rybka to let the world know about its mission. By submitting your application, you confirm that you understand this. Thank you.

All information about the processing of personal data can be found on our website www.zlatarybka.cz in the Personal Data Protection section. There you will find out when and to whom we transfer personal data (who are the recipients of personal data) and what rights you can exercise against us as the controller of personal data.

Applicatation