SUMMER CAMP REGISTRATION FORM 1.Child’s Information :Full Name : *Date of Birth (DD-MM-YYYY) *Age *Gender *Please select an optionMaleFemaleSchool Name : *Current Class/Grade : *2.Parent/Guardian Information :Full Name : *Relationship to Child : *Contact Number (Primary) : *Alternate Contact Number :Email *Residential Address *3.Medical Information :Allergies (food, medicine, etc.,) :Any medical conditions we should be aware of :Medication (if any) :Doctor’s Name :Doctor’s Contact Number :4.Camp-Related Details :Age Group : *3 to 6 yrs7 to 12 yrsCourse Fee : Rs 3000 for Age Group 3 - 6 yrs Course Fee : Rs 3800 for Age Group 7 - 12 yrs G-pay number : 9789057104 (Please select BASICS FOUNDATION under Businesses)Screen shot of payment made (after the completion of payment) : *Choose FileNo file chosenDelete uploaded fileSignature of Parent/Guardian : *Choose FileNo file chosenDelete uploaded file5.Consent & Declaration :I give permission for my child to participate in all summer camp activities.I consent to basic first aid being administered if needed.I allow photos/videos of my child to be used for camp-related promotions.Submit