Application Form
International Summer sports Camp Application Form (August 2022)
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Family Name
*
Given Name
Gender
Male
Female
Tellephone
*
Home Country Address:
*
Email
*
Does this student require any behavioral or special care? If yes, what type of care?
Is the student undergoing any medical treatments? If yes, please specify?
Does the student wish to join the General Swahili class?
Yes
No
Full name of accompanying guardian (for students)
*
Full Name
*
First
Middle
Last
Given Name
*
First
Middle
Last
Country Of Residence
Address
Telephone Number (Home)
Telephone Number (Mobile)
Have you attached a copy of the Travel & Medical Insurance Policy?
Yes
No
I, (Parent/Guardian Name: Acknowledge that I am aware that it is mandatory for my child to hold a travel/ medical insurance policy in order to join at Fountain Gate Sports summer camp program.
*
First
Middle
Last
Full Name
*
First
Middle
Last
Am
Father
Mother
Guardian
Submit