NAME OF THE EVENT:

INFORMATION OF THE PARTICIPANT

First name:

Last name:

Age:

Email:

Phone:

Address:

Where did you hear about ''Africanish Style'' ?

Name of your school / university / other:

Main contact at school / university (full name / email / phone #):

FOR MINORS / JUVENILES:

Contact of the parent or the one in charge (full name / email / phone #):

Consent & Approval:

By submitting this form, you, the parent or person in charge of the participant, have consented to give your approval for the participation of the person whose information is mentioned above (the participant who is a minor). In addition, you certify to have approved and provided your consent for the online publishing of the AFRICANISH STYLE's pictures & videos where the participant is in these. Checking the checkbox below is equivalent to a handwritten signature:

SIGNED