Registration form for Camp KREATIV 2017

14-19th August 2017

The Sooriya Music Village, #49, Skelton RD, Colombo 5

(Please complete & email to by 11th August 2017 – limited space/first come, first served basis.

IMPORTANT:
  1. Please ensure accuracy of spellings and details on this form as it will be the base for all information required for Camp KREATIV ’17 literature and communications.

PERSONAL INFORMATION
Name
Gender (Please Circle) /
  1. Male
  1. Female

Age
Current school and grade
PARENT/GUARDIAN INFORMATION
Name
Contact number
Email
Name and relationship of individual authorized to drop off/pick up participant from workshops & his/her contact number:
Workshop Information and Fees
CAMP FEES (LKR per participant for the entire week )-
4-6 age group :
  • 1 to 2 workshops with 1 snack = 9250/=
  • 3 or more workshops with 1 snack and lunch = 13,500/=
7 to 12 and 13 -19 age groups:
  • 1 to 2 workshops with 1 snack = 9250/=
  • 3 or more workshops with 2 snacks and lunch = 14,250/=
As CK ’17 is based in a restaurant please note that outside food is not allowed. Please refer the menu for full snack and meal details. Please note that additional meals and snacks can be added to the above at the following rates:
Cost per snack : 250/=
Cost per lunch : 350/=
PLEASE check the CK detailed schedule to;
-Ensure you select a combination of workshops that do not have conflicting times.
-Note how many sessions your workshop(s) include(s). Fees are quoted for all sessions within the workshop(s).
-Attendance for all sessions within the workshop is mandatory. / Participating Workshops (Please circle)
4-6 years (Total workshops – 4)
  • Discovery through play – by Seema Omar and Tehani Chitty (This mixed medium session counts as 2 workshops due to duration and variety of activities)
  • Dance : Exploring rhythm and movement – by Imesha of the Chitrasena School of Dance
  • Drama : Let’s tell fantastic stories – by Sulochana Dissanayake
7-12 years (Total workshops – 5)
  • Robotics : Igniterspace Yourng Innovator - by Igniterspace
  • Drama : Let’s tell fantastic stories – by Sulochana Dissanayake
  • Girls, Boys and our bodies – by Subha Wijesiriwardena
  • Musical Comedy: Sights, Sounds, Stories – by Larry T Hill
  • Dance : Exploring rhythm and movement – b Imesha of the Chitrasena School of Dance
Also available for participants over 10 years of age -
The Art of Photography – by Chamila Karunarathne
13-19 years (Total workshops – 5)
  • The Art of Photography – by Chamila Karunarathne
  • Staying safe online – by Hans Billimoria of The Grassrooted Trust
  • Mime:Ideas without words – by Pradeep Ramawickrama
  • Personal Storytelling – by Sulochana Dissanayake
  • Journey into Journalism – by Anuradha Kodagoda and Sharon Mascrenhas

TOTAL Payment for CK ‘17
Please note that full payment (non-refundable) must be received by CK by 11thAugust 2017 to confirm registration. / LKR.
Preferred payment method (Please circle) /
  1. Direct Deposit
  2. Cash payment

DIRECT DEPOSIT;
-Bank A/C Name – Power of Play (PVT) LTD
-A/C # - 1117010105
-Bank & Branch – Commercial Bank, Pita-Kotte
Please email deposit receipt to / CASH PAYMENTS;
-10am to 12 noon on July 15th and August 5th 2017 at Sooriya Village.
Accurate change will be much appreciated.
Once payment is received, registration will be confirmed via email & SMS. All payments are non refundable.
I HAVE READ AND AGREE WITH THE TERMS AND CONDITIONS STATED IN THE CK GUIDELINES FOR 2017
YES

NO
How did you hear about CK 2017? (Please Circle) /
  • CK 2014/15/16 Participant
  • Facebook
  • Email
  • Posters/Flyers – specify location ……………………………….
  • Other – please specify
…………………………………….

Thank you and see you at Camp Kreativ 2017!