QUESTIONNAIRE FOR KENYA STUDENTS VISIT TO DUBAI
3rd to 10th December | Host: Dubai International Academy, Emirates Hills | Organized by DunesRun Sports
Section A: Student Personal Information
Full Name (as on Passport)
Date of Birth
Gender
School Name
Class / Form
Passport Number
Passport Expiry Date
Nationality
Student Email / Phone
Section B: Parent / Guardian Information
Parent / Guardian Name
Relationship
Phone Number (WhatsApp)
Email Address
Alternative Emergency Contact & Number
Section C: Sports Profile
Sport(s) to compete in
Current level
Achievements / medals / certificates
Own sports equipment / kit
Coaching club or academy
Section D: Education & Culture Exchange
Why do you want to join this exchange program?
What skill or cultural aspect of Kenya would you like to share in Dubai?
What do you hope to learn / connect / explore in Dubai?
Have you travelled outside Kenya before?
No
Yes
Section E: Health, Medical & Diet
Any medical condition / allergies / asthma?
Are you on any current medication?
Food allergies / dietary restrictions
Swimming ability
Travel / medical insurance?
No
Yes
Section F: Travel & Logistics
Do you have a valid Kenyan Birth Certificate?
No
Yes
Passport status
Parent Consent for travel
Pending
Granted
T-shirt size
Shoe size
Who will cater for trip cost?
How did you hear about this program?
Section G: Parent Declaration
I authorize my child to travel to Dubai from 3rd - 10th Dec for the Exchange Program and participate in sports.
Currency
KSH
USD
Amount
Payment method
M-Pesa STK Push
Get an M-Pesa PIN prompt on the parent/guardian phone number entered above.
Bank transfer
View secure Paystack transfer instructions and account details.
Proceed to Pay