Verbattle Summer Camp Registration Form
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Email *
Name of the participant 
Date Of Birth/Age
MM
/
DD
/
YYYY
Gender
Clear selection
Institution 
Grade
Mother Tongue
Parent's Name
Contact Number
Emergency Number
Address
Email
Areas of Interest/Hobbies
I hereby declare that the above information furnished by me is true to the best of my
knowledge. I am aware that my child has enrolled for the Verbattle Summer Camp and in
case my child fails to abide by any or all of the rules and regulations, terms and conditions of
Verbattle, he/she will be discontinued from his/her association as a participant of the Camp.
I agree that the fee once paid by me on his/her behalf is not refundable, transferable and
will be forfeited, in case of his/her membership being discontinued at any point during the
association as a participant of Verbattle Summer Camp.
 *
Date 
MM
/
DD
/
YYYY
Time
Time
:
Kindly note that the summer camp is offline - Details of which are mentioned below:
Participation fee of ₹5000 to be paid to this bank account:
The QR Code can be used to make the payment of participation fee of ₹5000
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