Dramapatugalu (Group) – Participant age less than 18 years

Picture2

AKKA Dramapatugalu (Group) Application Form

    * Indicates mandatory fields

    Have you registered for the AKKA 2016 WKC? *

    Team Name: *

    Program Lead Name: *

    Program Lead Email: *

    Program Lead Phone: *

    City: *

    State / Province: *

    Postal / Zip Code: *

    Country: *

    Team Members Name: (Only 3 members in team) *

    Are participants taking part in additional programs: *

    Kannada Association representing: *


    ----- Consent Details -----

    Parents/Guardians please consent here below:

    As parent/guardian I approve that participant can participate in this competition.

    Name: *

    Age: *

    Email: *

    Phone: *

    City: *

    State: *

    Postal / Zip Code: *

    Country: *



    (Please verify all inputs before clicking on submit)