Sikhi Camp Lions Registration Form (11-12 Years)

Personal Information 1

First Name *

Surname

Street Address

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Personal Information 2

Age *

Gender *BoyGirl

Date Of Birth *

Telephone No,

Mobile No. *

Mother's Name

Father's Name

Other Carer

Your Email Address (we will send the copy of the form on this email) *

Emergency Contact Details

First Name

Surname

Contact No

Relationship

Medical Details

Any Relevant Medical Conditions (e.g. Asthma)?YesNo

- If Yes, please give brief details below:

Explain Medical Condition

Photography Agreement

Occasionally, we will use photographs of members to highlight an individual or group’s achievements in the local press or in official Club Communications i.e. Club Website or Newsletter. If you prefer your child not to be included please tick the box hereI Agreed

Disclaimer

Sikh Welfare Awareness Team - Youth cannot be held responsible for any loss or damage of personal belongings or for any personal accident, or injury sustained, during the Summer Camp.

Summer Camp Sules

I have read, understood and agree to abide by the Summer Camp’s rules as stated, and accept that I may be suspended if I break the stated rules.

Child's Confirmation

Child's Signature *

Date *

Parent/Carer's Confirmation

Parent/Carer's Signature *

Date *

Volunteers

The camp is run by Members on a voluntary basis (i.e. Free of Charge). If you would like to get involved and help to take the organisation forward, please tick the following box and you will be contacted by our Volunteer Coordinator.I would Like to

We will only use your data to administer these documents and to contact you regarding your registration. We won’t use your details for any other purpose unless we obtain your express consent to do so or if we have another lawful basis for such processing. Further information on how we handle personal data can be found in our Privacy Policy.

Credit / Debit Card *

Sikhi Camp Lions Registration Form (11-12 Years)

Sikh Welfare Team

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