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:- 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) /
- Male
- Female
Age
Current school and grade
PARENT/GUARDIAN INFORMATION
Name
Contact number
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/=
- 1 to 2 workshops with 1 snack = 9250/=
- 3 or more workshops with 2 snacks and lunch = 14,250/=
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
- 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
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) /
- Direct Deposit
- 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
- Posters/Flyers – specify location ……………………………….
- Other – please specify
Thank you and see you at Camp Kreativ 2017!