Activate Youth Camp 2019
AYC 2019 Registration for Students in J.S.S.1 - S.S.S. 2 Only
Note: Activate Youth Camp reserves the right to reject any applicant whose information is adjudged to be false.
Parental consent is also important in filling this form and attending AYC 2019. Intending participants will be disqualified if consent is not given.
THE CONVERGENCE.
Section 1
Parental Consent
Do you consent to your Ward's participation in AYC 2019? *
Why? *
Your answer
Do you consent to your Ward's picture or images used on our Social Media Platforms and Print Media? *
Section 2
Personal Details
First Name *
Your answer
Surname *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Gender *
Current Age *
Your answer
Home Address
Your answer
Phone Number *
Your answer
Section 3
School Details
School Name *
Your answer
School Address *
Your answer
Current Class *
Just concluded Class *
Which of the following Exams have you written recently *
What year did you write the exam *
Section 4
Your Interests
Sports (Pick 1) *
Tick just one box here as your first option
Required
Sports (Option 2) *
Tick just one box different from the one ticked above
Required
Skills (You can only Pick 1) *
Tick one box only
Required
Entertainment (You can only pick 1) *
Tick one box only
Section 6
More about YOU.
Selection to attend AYC 2019 is based on the discretion of the Selection Committee.
Have you attended AYC before? *
If Yes, What Year(s)? If No, click No *
How have you put the things learnt into use?
Your answer
If No, Why do you want to attend?
Your answer
Section 7
Health
Does your child have any ongoing health conditions or challenges? *
If Yes, list health concerns we should be aware of *
Your answer
Any allergies? *
If Yes, List *
Your answer
Section 8
Guardians Details
Guardian Full Name *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Relationship
Your answer
Emergency Phone Number *
Your answer
By clicking on the submit button below. I acknowledge and consent to the following as Parent/Guardian of the Applicant.
1. I understand and agree with all AYC policies, procedures and regulations
2. AYC Organizers are authorized to take pictures and recordings of my child for the purposes of administrative records and promotion of the Camp activities on online/offline media
3. I believe the above information to be true and accurate to the best of my knowledge
Submit
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