Confluence International

Name of the College/School:

Name of the College/School

Mailing Address:*

Addres is required

Name of the Principal:

City:

Pin/Zip Code:

State:

Country:

Phone No.(with ISD/STD code):*

Phone number is required

Fax No.(with ISD/STD code):

Email:*

School email is required Invalid Email

1. Team Leader's Name:*

Leader Name is required

Leader Gender

Gender is required

Contact Number:*

Leader phone number is required

2. Team Leader's Name:*

Leader Gender

Contact Number:*

Details of the Participating Team

Juniors Only

Name_1:

Class:

Gender

Date of Birth:

Name_2:

Class:

Gender

Date of Birth:

Name_3:

Class:

Gender

Date of Birth:

Name_4:

Class:

Gender

Date of Birth:

Name_5:

Class:

Gender

Date of Birth:

Seniors Only

Name_1:

Class:

Gender

Date of Birth:

Name_2:

Class:

Gender

Date of Birth:

Name_3:

Class:

Gender

Date of Birth:

Name_4:

Class:

Gender

Date of Birth:

Name_5:

Class:

Gender

Date of Birth:

Please check that you have entered all relevant data before clicking SUBMIT. If you do not hear from us in a few days please email us at confluence@cmseducation.org.

F O R M S

Registration Form

PLEASE USE BLOCK CAPITALS ONLY:

Details of the Participating Team

Juniors Only

Seniors Only