India Academic Insights Booking Form 2022 Section 1: Enrolment InformationLocation(Required)Please SelectStrawberry Fields High School, ChandigarhAge Range(Required)Ages 13-15Ages 16-18Subjects of Interest Architecture Business Management Computer Science Creative Writing Economics Engineering English Literature International Relations Law Medicine STEM Academic Insights offers a combined subject curriculum so you will study a blended programme of academic subjects taught by a tutor from Oxford or Cambridge UniversityProgramme Dates(Required)20 June - 30 June 2022Section 2: Participant InformationParticipant Name(Required) Participant First Name Participant Family Name Participant Nationality(Required)AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo (Democratic Rep)Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIreland (Republic)IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea, Republic ofKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweDate of Birth(Required) DD slash MM slash YYYY Participant Preferred Pronouns(Required)He/Him/HisShe/Her/HersThey/Them/TheirsParticipant Email(Required) Participant Phone Number(Required)Dietary RequirementsDoes The Participant Have Any Medical Conditions?(Required)NoYesMedical Information - Additional NotesSection 3: Parent/ Guardian DetailsName(Required) Your First Name Family Name Parent/ Guardian Email Address Does The Parent/Guardian Content To The Child Receiving Over-The-Counter Medicine (If Unwell)?Medicines to be distributed if needed: Paracetamol (for pain relief and fever reduction), Ibuprofen (for pain relief and fever reduction), Piriton (to relieve symptoms of mild allergies, such as hay-fever), Strepsils (for sore throat relief), Simple Linctus (for mild coughs), Rennie (for heartburn and indigestion), Olbas Oil (decongestant for colds / congestion).YesNoOther InformationSection 5: Emergency Contact InformationEmergency Contact Name Emergency Contact First Name Emergency Contact Last Name Emergency Contact Email Emergency Contact Phone NumberEmergency Contact Phone (Alternative)ConfirmationPlease Click Here To View Our Terms & ConditionsDo you accept the booking terms and conditions?(Required) Yes