XR ASIA CUP CHALLENGE 2023 APPLICATION

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XR ASIA CUP CHALLENGE 2023

Please complete the following form, providing all necessary information for participants from your school.

XR ASIA CUP CHALLENGE 2023: Event Roster

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Name of School *

Head of School *

Head of School Email *

School Logo (for promotional purposes) *

Click or drag a file to this area to upload.

File to be pasted here

Emergency Contact at Your School (not travelling)

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Name *

Mobile *

Email *

Attending Student Information

GAILA WILL FULLY SPONSOR TWO STUDENTS AND ONE ADULT CHAPERONE PER ATTENDING SCHOOL. IF A SCHOOL WISHES TO REGISTER ADDITIONAL ATTENDEES AT ITS OWN EXPENSE, IT MUST FIRST CONTACT THE DIRECTOR OF ACTIVITIES PHOENIX MU AT PHOENIX.MU@GAILA.WORLD

Attending Student (1)

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Name *

Nationality

Gender

T-shirt Size *

Special Diet *

Date of Birth (mm/dd/yyyy) *

Passport No. *

Twin Share or Single Room *

Allergies & Medicine *

Need an F Visa to travel to China *

Yes
No

Attending Student (2)

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Name *

Nationality

Gender

T-shirt Size *

Special Diet *

Date of Birth (mm/dd/yyyy) *

Passport No. *

Twin Share or Single Room *

Allergies & Medicine *

Need an F Visa to travel to China *

Yes
No

Attending Teacher/Adult Chaperone AND MAIN CONTACT Information

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Name *

Email *

Nationality

Gender

T-shirt Size *

Special Diet *

Mob.tel *

Date of Birth (mm/dd/yyyy) *

Passport No. *

Twin Share or Single Room *

Allergies & Medicine *

Need an F Visa to travel to China *

Yes
No