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NextWave Future Leaders is A Not-For-Profit Charitable Trust. Charity Registration # CC63105

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GRAD (14-17 YR) Registration Form

Your Leadership Journey Doesn’t Stop Here

Take the Next Step with NextWave 2027

GRAD (14-17 YR) Registration

Exciting Congratulations! You are now ready to comeback and join our GRAD program!

As you know, once you have registered your parent/guardian will also receive an email to verify your registration. Please let them know it's on it's way.

Can't Wait To See You Again!

Participant Information

Salutation *

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Mrs
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Full Name *

Date of birth *

How Old Are You On the 19th of April 2027? *

What School Do You Attend? *

What Year Are You In? *

Are You Doing Duke Of Edinburgh? *

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Email *

Mobile/Phone *

WhatsApp Number *

Gender *

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Address

Street Address & Suburb *

City

State

Country

Afghanistan
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Algeria
American Samoa
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Anguilla
Antarctica
Antigua and Barbuda
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Belize
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Bouvet Island
Brazil
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Canada
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Chad
Chile
China
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Djibouti
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Dominican Republic
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Egypt
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Equatorial Guinea
Eritrea
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Ethiopia
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Faroe Islands
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Nigeria
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Northern Mariana Islands
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Panama
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Philippines
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Poland
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Romania
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Switzerland
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Thailand
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UK
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Virgin Islands, U.S.
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Postal code

Participant's Photo *

PNG, JPEG or JPG

T-Shirt Size

T-Shirt Sizes *

Unisex/Men's T-Shirt - S
Unisex/Men's T-Shirt - M
Unisex/Men's T-Shirt - L
Unisex/Men's T-Shirt - XL
Unisex/Men's T-Shirt - 2XL
Unisex/Men's T-Shirt - 3XL
Unisex/Men's T-Shirt - 4XL
Unisex/Men's T-Shirt - 5XL
Women's T-Shirt - XS
Women's T-Shirt - S
Women's T-Shirt - M
Women's T-Shirt - L
Women's T-Shirt - XL
Women's T-Shirt - 2XL
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Please Refer To The Charts Below.

Participant Details

What excites you about joining the 2027 Youth Leadership Summit? *

What other contributions have you participated in? *

What are your hobbies, interests & leadership aspirations? *

What are your career goals or dreams for the future? *

What’s one challenge you’re facing right now that you wish you had more support with? *

What would you like to learn the most over the next 5 days? *

Whatever you share stays completely confidential, but opening up could be the first step to something better.

Health & Dietary Information

Do you have any dietary restrictions or allergies? (if YES, please specify) *

Medical Conditions/Medications

Do you have any medical conditions or take any medication we should be aware of? (if YES, please specify) *

Primary Doctor’s Name & Contact Info

AI Experience

Have You Used AI? *

YES
NO
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AI Level Of Experience *

Beginner
Intermediate
Advance
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What Challenges Have You Had With AI? *

What Would You Want To Learn About AI? *

Parent/Guardian Information

Parent/Guardian 1 Full Name *

Relationship to Participant (1)

Mother
Father
Grandmother
Grandfather
Legal Guardian
Other
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Parent/Guardian 1 Email Address *

Parent/Guardian 1 Contact Number *

Parent/Guardian 2 Full Name

Relationship to Participant (2)

Mother
Father
Grandmother
Grandfather
Legal Guardian
Other
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Parent/Guardian 2 Email Address

Parent/Guardian 2 Contact Number

Flight Details (see below airport arrival & departure Policy)

Airline Name

Arrival Date & Time

Flight Number

Departure Date & Time

Land Transportation

Arriving by Vehicle

YES
NO
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Arrival Date & Time

GET READY! Once you have signed the forms, we’ll send an Information Pack closer to the time to both you and your parent/guardian with everything you'll need to know about the summit.

Key Dates & Times:

• Training: 17th April, 2027 - 12:00PM-6:00PM | 18th April, 2027 - 9:00AM-6:00PM

• Grand Finale: We’ll wrap up with a celebration around 4:00 pm on Friday, April 23rd.

• Flying in? To make sure no one misses out on our final celebration, please schedule return flights from 6:00 pm onwards. We’d love for every teen to be part of the closing festivities!

• Parent/Guardian Participation/Connection: Friday 23rd 11:30am onwards - All Parent/Guardian are welcome to join in the last part of the summit & the celebrations.

Consent & Signature

Consent to Confidential Information Collection for Verification Purposes *

I consent that the collection of my information will be held in complete confidence within the guidelines of NextWave Future Leaders private policy & will be for the purpose of verification only.

Signature *

Clear

Teen's Signature

Date Picker *

Privacy Policy | Rules & Regulation
Airport Arrival & Departure Policy

For any questions or concerns about the registration form, please contact our Founding Director, Rani Rangimoekau, at [email protected] or call +64 21 359 481.