DFCconnect For Lebanon -  Lebanon Registration

This form is only for children connecting from LEBANON, if you are connecting from elsewhere please fill in the following form: https://forms.gle/6GQk2hbx3bUxu4QS9

Thank you for giving your child the opportunity to connect to build optimism!

#DFCConnect sessions have been designed to open up the world for the children to share and get inspired from each other in these trying times. More than ever before, human connections are essential to form our well-being, happiness and hope.  These sessions help children to share their feelings and help each other to be positive and make connections!  

#DFCconnectForLebanon are particular sessions designed after the 4th of August blast that happened in Beirut. These sessions build on #DFCconnect experience in Singapore and connect children from Lebanon among each other and with children from other countries.

The #DFCConnect Facilitated Sessions are FREE and are facilitated by DFC Lebanon’s representatives and partners. For more information, please visit - https://www.facebook.com/dfclebanon
 
Please complete the form below to register your child / student.  If you wish to register more than one child, please fill in a new form per child.    

We will be in touch with you with confirmation and further information on the session. Please note all sessions are in English only.

For any clarification please write to us at dfc.leb@gmail.com 
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Participating Child's Full Name *
Participating Child's Age *
Parent / Guardian's Name *
Parent / Guardian's contact email address *
WhatsApp Contact Number (used only for reminder before the call) *
By checking the box below you confirm you are the lawful Parent / Guardian of the participating child *
Required
1st Preferred day of the Week : Please choose one day that suits you best, we will then assign you to a specific date and email you the details. Note that the times of the sessions offered are UTC+3, Eastern European Summer Time until the 25th of October 2020 when it will shift to UTC+2, Eastern European Time. *
2nd Preferred day of the Week : Please choose one day that suits you best, we will then assign you to a specific date and email you the details. Note that the times of the sessions offered are UTC+3, Eastern European Summer Time until the 25th of October 2020 when it will shift to UTC+2, Eastern European Time. *
By filling the form you (Parent / Authorised Guardian) have given your consent on behalf of the participant (your child / student) to the following terms: I have given permission to Design for Change Global, Design For Change Lebanon and its representatives to use my written and photographic information collected at the session noted here. Please note that this session will not be recorded. If you have any further clarifications regarding this, please contact us before the session. I further grant Design for Change  and their representatives the right to reproduce, use, exhibit, display, broadcast and distribute and create derivative works of these images and recordings in any media now known or later developed; and right to use on the Internet, in print publications, video and multimedia presentations, and/or for any purpose which may include, but not limited to display, public relations, marketing, or designs. Please note that none of the material will be used for political purposes.                                  I hereby release, defend, indemnify and hold harmless Design for Change Global and Design For Change Lebanon from and against any claims, damages or liability arising from or related to the use of the images, recordings or materials, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution. *
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