.: Rustic Holidays :. About Us



Participant's Details

Batch interested
First Name
Father's Name
Surname
Date of Birth	(dd/mm/yyyy)
Age
Blood Group
Name of School
Allergic to (Medicine)
Participant’s Hobbies

NOTE : - 1) I / WE HAVE NO OBJECTION TO THE FREE - OF - COST USE OF THE PHOTOGRAPHS AND VIDEO FOOTAGE OF THE CAMP AND ITS PARTICIPANTS FOR PRESS / TELEVISION ADVERTISING / WEBSITE AND OTHER PROMOTIONAL PURPOSES. 2) FEES ONCE PAID WILL NOT BE RETURNED UNDER ANY CIRCUMSTANCE

Address
Phone No. (Landline):
Father's Mobile No. :
Mother's Mobile No. :
Father's Email address :
Mother's Email address :
Particiepent's Email address :

site designed by reach