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DCIT Boot Camp - Registration Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Primary Contact
*
Your answer
Secondary Contact
*
Your answer
Email
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Name Relationship
*
Your answer
Emergency Contact Number
*
Your answer
Current or Previous Secondary School
*
Your answer
Form
*
5
Lower 6
Upper 6
Other:
Allergies or Health Problems
e.g. Asthma
Your answer
Do you take any special medications
*
Yes
No
Are you interested in attending UWI?
*
Yes
No
If yes, do you know what field/area you want to study?
Yes
No
Clear selection
If yes, please state
Your answer
Have you applied to UWI?
*
Yes
No
If Yes, please state which program
Your answer
If No, are you planning to apply to UWI?
Yes
No
Clear selection
Which of the following are you currently studying or have just completed in secondary school?
*
Science
Business
Modern Studies (a mix of Science and Business)
Arts
Other:
Are you studying or passed Information Technology/ Computer Science at O Levels?
*
Yes
No
Are you studying or have passed Information Technology /Computer Science at A Levels?
*
Yes
No
Would you need campus accommodation for the camp period?
*
Yes
No
Would you be able to obtain permission to go on field trips?
Yes
No
Clear selection
Please state any meal preferences:
*
Vegetarian
No Pork
No Beef
Other:
Please state any food allergies:
Your answer
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