The Artful Escapes Registration Form

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Image Field
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Please choose one* This field is required.
I am buying a ticket for myself
I am buying tickets for multiple participats
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How many tickets will you purchase?* This field is required.
Please Select
Please Select
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By filling out the needed information and submitting this registration form, you acknowledge that all information provided will be kept confidential and will not be disclosed to any third parties as stipulated on the guidelines of the DATA PRIVACY ACT* This field is required.
YES. I give my consent
NO. I do not give my consent
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Your Email* This field is required.
example@example.com
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Your Name* This field is required.
First Name
Middle Name
Last Name
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Names and Emails of Participants* This field is required.EXAMPLE: Bea Mae Aquino bea_mae_aquino@dlsl.edu.ph Mary Jocelyn Isabelo mary_jocelyn_isabelo@dlsl.edu.ph
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Ok
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Are you a minor? (below 18 years old)* This field is required.Minors are required to submit a consent form signed and approved by their parents/legal guardian. Link of the consent form shall be emailed to you accordingly
YESNO
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Are they MINORS (17 Y.O. and below), NON-MINORS (18 Y.O. and above), OR BOTH?* This field is required.
Minors
Non-Minors
Both
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Please write the name/s of the MINOR participants* This field is required.
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Ok
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Please be informed that Minor participants are required to submit a parent/guardian consent form* This field is required.We will email you the link of the consent form accordingly
This is noted
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Are the participants Lasallians, Non-Lasallians, or Both?* This field is required.
Lasallians
Non-Lasallians
Both
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Please write the name/s of the NON-LASALLIAN participants* This field is required.
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Ok
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Your Age* This field is required.
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What is your occupation?* This field is required.
Student
Self Emloyed
Employed
Other
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Are you a student of De La Salle Lipa?* This field is required.
YESNO
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What school do you go to?* This field is required.
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Your Phone Number* This field is required.for contact purposes only
Please enter a valid phone number.
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Active Phone Number of any of the Participants* This field is required.for contact purposes only
Please enter a valid phone number.
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Do you have any allergies or special considerations we may need to be aware of?* This field is required.
YESNONE
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Does the participants have any allergies or special considerations we may need to be aware of?* This field is required.
YESNONE
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Kindly specify* This field is required.
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In case of Emergency* This field is required.please fill out the needed information
Name of emergency contact person
Please type their contact number
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TICKET PRICE
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Pay here!don't forget to save or take a screenshot of your payment!
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Proof of Payment* This field is required.please upload the image/screenshot of your payment
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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EVENT DETAILS* This field is required.Date: June 14, 2023 Time: 1:00-5:00 PM Venue: DLSL Retreat Complex Mess Hall
This is Noted
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IMPORTANT REMINDERS* This field is required.For MINORS, please make sure to submit your parent/guardian consent form Don't forget to bring your physical tickets or E-tickets Please BE ON TIME. Registrations start at 12:30 PM
This is Noted
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