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MSA Camp 2017 Registration
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Email
*
Your email
Name
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First and last name
Your answer
Gender
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Your answer
Phone number
*
Your answer
Do you require transport to Cape Town?
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Yes
No
If you require transport, please specify from where
Your answer
Dietary requirements (aside from Halaal)
Your answer
Are you part of a formal MSA structure? If yes, please specify in what capacity and which branch (eg. Secretary, MSA UJ / Member, MSA UKZN)
*
Your answer
Educational background
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Your answer
Extra-curricular/Clubs and society involvement
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Your answer
What kind of activities/program do you expect from MSA camp?
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Your answer
Emergency contact number (eg. Mum - 082 123 4567)
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Your answer
Allergies
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Your answer
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