Registration ALL ENTRIES MUST BE SUPERVISED AND APPROVED BY AN ADULT.Sign up for the Kiwanis Club of Croydon Young Writers Competition... Fill out the form below to confirm your spot now!Personal Information First Name* Last Name* Email* Address* GenderMaleFemaleOther What is your age? You are a student at?SchoolCollege/ UniversityOther Name of the institution* Please Specify*Parent/ Guardian Information First Name* Last Name* RelationshipFatherMotherElder brother/ sisterGrandfatherGrandmotherFamily relativeGuardian Phone* Email* Address* Occupation*Emergency ContactEmergency Contact First Name* Last Name* Phone* Email* Any medical concerns? *Summer Camp Information Which camp would you like to join?The adventures (July 18th - 28th, 2022)The Explorers (Aug 14th - 22nd, 2022)The Researchers (Sep 16th - 27th, 2022) Will you be attending the camp?By yourselfWith friendsWith cousinsWith own brothers/ sisters Are you open to accompany other camp students with you?YesNoNot Sure How many?* Do you need travel assistance for reaching the camp site?YesNoHealth DeclarationsPlease fill-up this form as required by the Government that will require you to declare any illness and provide information that will aid in contract tracing, should the need arise. Be sure that the information you give is accurate and complete. All the information submitted shall be encrypted, and strictly used only in compliance to law, guidelines, and ordinances, in relation to business operation in light of COVID-19 response. Do you or your companions have any kind of allergies?YesNo Please specify* Are you or your companions taking any kind of medications that requires attention?YesNo Please specify* Do you or your companions ave any chronic diseases?YesNo Please specify* Are you or your companions habitual to drugs and alcohol?YesNo Please specify* Do you or your companions have any hereditary conditions/diseases?High blood pressureDiabetesHemophiliaThalassemiaOtherNone Please specify*Declaration and ConsentBy signing this form, I declare that the information I have given is true, correct, and complete. I understand that failure to answer any question or giving a false answer can be penalized in accordance with the law. Signature* Date*
