Delve into the Dhamma - Pilgrimage to Sri Lanka (Children 7-18)

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This is a registration form for all participants from 7 - 18 years and must be completed by a responsible adult. By completing this form you consent to taking full responsibility of this participant.

Email *

Child's first name *

Child's last name *

Child's age *

Child's sex *

Female

Male

Other

Child's emergency contact name *

Child's emergency contact phone number *

Dietary requirements *

Child's allergies and intolerances *

Any health conditions that we should be aware of? *

Child's Nationality *

Child's Passport No. *

Child's Address *

Trip Duration *

Full trip 25/12 - 17/1

First part (Retreat) 25/12 - 4/1

Second part (Tour) 4/1 - 17/1

Accompanying parent/guardian's first name *

Accompanying parent/guardian last name *

Accompanying parent/guardian's phone number *

Accompanying parent/guardian's email address *

TERMS AND CONDITIONS

Terms and Conditions *

I understand and accept these terms and conditions

I DO NOT understand and accept these terms and conditions (your application will not be accepted)

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