10 Fingers Oasis Holiday Camp Program Application Form

May 11, 2025
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Form is Completed for *

Ticket For *

Text Title *

Section 1a: Organization – Please skip this part if its not applicable to you

Enter Name of Organization

Enter Address

Enter Contact Person/Representative

Enter Email Address

Enter Phone Number

Section 1b: Parent/Guardian Information

Enter Name of Parent *

Enter Email *

Enter Phone number *

Enter Address *

Section 1c: Alternative Contact to 1a or 1b above

Enter Name

Enter Address

Enter Phone No.

Section 2: Participants Information

Enter Name of Child *

Enter Age *

Enter Date of Birth *

Gender *

malefemale

Enter Address *

Upload Passport Photograph *

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Section 3: Medical Information

Does your child/ward have any allergies or medical condition? *

YesNo

Enter If yes, please list the allergies or medical condition

Does your child/ward take any medications? *

Enter If yes, please list the medication

Does your child have any dietary restriction *

Enter If yes, please specify

Section 5: Security

Do you have any concern or special requests regarding your child's safety and security? *

Enter If yes, please specify

Section 6: Transportation

How will your child be Transported to and from the camp? *

Section 7: Parent/Guardian/Portal Participation

Will a parent/guardian/portal be staying or visiting the participant for some days? *

YesNo

Enter Number of days if Yes

Accommodation Requirement *

Enter Name of Parent/Guardian/Portal

Enter Phone No:

(A guardian/portal is responsible for his/her accommodation. We will facilitate to ensure comfort)

Section 8: Additional Information

Enter Additional information if any

Section 9: Consent and Authorization

Parental Consent *

I hereby grant consent for my child/ward to participate in 10 Fingers Oasis Camp. I understand that the camp will provide a safe and supportive environment.

10 Fingers Oasis is authorized to: *

Post photos and videos of the participant's performance on 10 fingers oasis social media and website or use in any way for advertorial and or promotional purposes or any form of 10 fingers Oasis objectivesProvide medical treatment and care to the participant in case of an emergencyTake necessary actions to ensure all the participants' safety and well-being

Note:
1. Cost of the summer which includes feeding, accommodation, trainings and all other activities:
a. Silver Package (One Week) = NGN200,000
b. Gold Package (Two Weeks) = NGN350,000
c. Exclusive Package (Three Weeks) = NGN500,000
d. Platinum Package (Four Weeks) = NGN600,000

2. Payment validates participation, except as circumstance may warrant, which would be communicated as soon as possible

3. No electronic or media capturing/recording device like phone, camera, smart watch, smart glasses etc is allowed for the children during and on camp. There is provision for phone booths for communication.

4. No sharp object including key is allowed for the children during and on camp.

Attestation
a.

Enter I have the authority to execute this form for *

Enter as his/her *

check as applicable *

I a executing the form after reading understanding and agreeing with the contentAll information provided are true

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