[Government of Barbados] Creative Thinkers Camp 2022

MINISTRY OF INDUSTRY, INNOVATION, SCIENCE AND TECHNOLOGY

(SCIENCE, MARKET RESEARCH AND INNOVATION)

5^TH FLOOR DIGITISATION CENTRE, VAUCLUSE, ST. THOMAS

Tel. Nos: (246) 535-0779

Email: MIST.smri@barbados.gov.bb

Application Form

Creative Thinkers Innovation Camp

Ages 12 - 16

August 8^th – August 23^rd, 2022

St. Stephen’s Primary School

Goddard Rd, St. Stephens Hill, Black Rock

St. Michael

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

SECTION A: Please submit one (1) passport size photo along with this form

Upload a passport size (2"x2") photo not older than six (6) months. Photo should be 2"x 2" (51 x51 mm) with the head centered and sized between 1" and 1.4" (25 and 35mm). See examples photo below:

Photo should be 2Ã¢ÂÂx2Ã¢ÂÂ (51 x 51 mm) with the head centered and sized between 1Ã¢ÂÂ and 1.4Ã¢ÂÂ (25 and 35 mm).

Acceptable - head is centered

Photo tip: Photo should be 2Ã¢ÂÂx2Ã¢ÂÂ (51 x 51 mm) with the head centered horizontally and sized between 1Ã¢ÂÂ and 1.4Ã¢ÂÂ (25 and 35 mm).

Unacceptable - Head not centered properly

Upload Photo Here

Click Here to Upload

SECTION A - Continue

Address

Date of Birth

Gender

MALE

FEMALE

Email Address

Contact Tel. No.

Home

Mobile

Educational Institution

Other Educational Institution

What are the reason(s) for your interest in the camp?

Parent/Guardian Information

Name of Parent/Guardian

Address if different to above

Contact Tel. No.

Home

Office

Mobile

E-mail

SECTION B: CONTACT IN CASE OF EMERGENCY

Name *

Relation to child *

Emergency Telephone Contact

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.