Culture in the SchoolYard Cultural Camp Registration Form

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This is the registration form for the Culture in the SchoolYard Cultural Camp- A Partnership between DianJen and the Ministry of Tourism, Culture and the Arts. The programme is open for ages 9-17 and runs from Mon August 14th to 25th 2023! Before registering you should have read the the camp's overview at: https://www.dianjen.com/java/

Please DO NOT use this form if your child cannot attend the programme.

Email *

PARTICIPANT'S INFORMATION

Last Name *

First Name *

Address: *

Telephone Contact *

Date of Birth *

The programme is open to participants aged 9-17 years

YYYY

School Attending *

Prior Experience *

Tell us a bit about the participants experience (if any) in the arts- Music, Painting, Drama, Design and for how long

Does you child have any medical conditions/ allergies? *

Please give us some details here:

PARENT/ GUARDIAN EMERGENCY CONTACT INFO

In Case of Emergency Contact: *

Kindly indicate an emergency contact person.

Emergency Contact I (Telephone #): *

Kindly provide a telephone number for your emergency contact.

Emergency Contact 2 (Telephone #):

Kindly provide a telephone number for your emergency contact.

Relation of Contact #2 *

Here you list how you are related to the contact person (eg. Mother, Father, Spouse etc.)

I have read the Programme's structure and I am desirous of enrolling my child. I intend to honour the guidelines and requirements. *

YES

Other:

A copy of your responses will be emailed to the address you provided.

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