Dance Register - iCamp Thailand

iCamp Dance Competition

Part A Dance & School Team Information

Name of Performing Team

School Name

Contact Person

Phone Number

Website & Social Media

School Address

Number of Student (approx.)

Age Range of Students

Dance Style

Competition Experience

Achievements / Awards

Year of Establishment

Number of Team Participants (min 4 - max 10)

Age Group

7 - 9 10 - 13 14 - 17

Name of Choreographer

Part B: Participant Information - Please fill the form for each student.

Participant Full Name #1

Date of Birth #1

Gender #1

Nationality #1

Parent/Guardian Full Name #1

Parent/Guardian Phone Number #1

Email #1

Home Address #1

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #1

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #1

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #1

Special care required #1

Medications currently taken #1

Participant Full Name #2

Date of Birth #2

Gender #2

Nationality #2

Parent/Guardian Full Name #2

Parent/Guardian Phone Number #2

Email #2

Home Address #2

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #2

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #2

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #2

Special care required #2

Medications currently taken #2

Participant Full Name #3

Date of Birth #3

Gender #3

Nationality #3

Parent/Guardian Full Name #3

Parent/Guardian Phone Number #3

Email #3

Home Address #3

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #3

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #3

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #3

Special care required #3

Medications currently taken #3

Participant Full Name #4

Date of Birth #4

Gender #4

Nationality #4

Parent/Guardian Full Name #4

Parent/Guardian Phone Number #4

Email #4

Home Address #4

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #4

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #4

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #4

Special care required #4

Medications currently taken #4

Participant Full Name #5

Date of Birth #5

Gender #5

Nationality #5

Parent/Guardian Full Name #5

Parent/Guardian Phone Number #5

Email #5

Home Address #5

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #5

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #5

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #5

Special care required #5

Medications currently taken #5

Participant Full Name #6

Date of Birth #6

Gender #6

Nationality #6

Parent/Guardian Full Name #6

Parent/Guardian Phone Number #6

Email #6

Home Address #6

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #6

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #6

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #6

Special care required #6

Medications currently taken #6

Participant Full Name #7

Date of Birth #7

Gender #7

Nationality #7

Parent/Guardian Full Name #7

Parent/Guardian Phone Number #7

Email #7

Home Address #7

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #7

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #7

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #7

Special care required #7

Medications currently taken #7

Participant Full Name #8

Date of Birth #8

Gender #8

Nationality #8

Parent/Guardian Full Name #8

Parent/Guardian Phone Number #8

Email #8

Home Address #8

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #8

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #8

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #8

Special care required #8

Medications currently taken #8

Participant Full Name #9

Date of Birth #9

Gender #9

Nationality #9

Parent/Guardian Full Name #9

Parent/Guardian Phone Number #9

Email #9

Home Address #9

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #9

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #9

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #9

Special care required #9

Medications currently taken #9

Participant Full Name #10

Date of Birth #10

Gender #10

Nationality #10

Parent/Guardian Full Name #10

Parent/Guardian Phone Number #10

Email #10

Home Address #10

Health & Wellbeing Information of Participant

Allergies (food, medication, environmental) if no, please input ( - ) #10

Physical conditions or limitations (e.g., asthma, injuries, chronic illness) if no, please input ( - ) #10

Mention health conditions or suppoer needs (e.g., anxiety, ADHD, other) if no, please input ( - ) #10

Special care required #10

Medications currently taken #10

Part C: Media, Rules & Consents

The school grants permission for all registered participants to be photographed and/or filmed during the competition for promotion purpose.

Yes

Use of Media: The school agree that photos and videos may be used on iCamp's official website, social media channels, and promotional materials.

Yes

School Agreement: I confirm that the information provided in this application is accurate. I acknowledge the competition rules and agree that all participating students from our school will take part under the supervision and guidance of the school’s representatives.

Yes

Authorized School Representative (Name & Position)