The Taco Bell Foundation Ambition Accelerator 2024 Summit Registration
We are excited for you to attend The Taco Bell Foundation Ambition Accelerator Summit taking place on September 17-20, 2024, in Bangalore, India.
Please confirm your attendance by completing this registration form by
Friday, June 21, 2024.
Registration Information
Role
Please select...
Participant
Parent/Guardian
Legal First Name
Legal Middle Name
Legal Last Name
Preferred First Name on Name Badge
Pronunciation of Preferred First Name and Last Name
Cell Phone Number
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Email Address
Project Name
Pronunciation of Project Name
Pronouns
He/Him
She/Her
They/Them
Prefer not to Answer
Other
Gender
Date of Birth
Will you be 18 years old or older on
September 17, 2024?
Yes
No
Name of the parent/guardian/chaperone you are travelling with? (First and Last name)
What is your parent/guardian/chaperone’s email?
What is your parent/guardian/chaperone’s phone number?
Relationship to you
Name of the young person you are traveling with
Project name of young person
Relation to young person
Parent/Legal Guardian
Educator
Other
Other
Please provide an emergency contact's first name, last name, phone number, email and relationship to you. Please provide a contact other than the parent/guardian/chaperone you are traveling with.
Emergency Contact
First Name
Last Name
Cell Phone Number
Email Address
Relationship
Parent/Legal Guardian
Relative
Other
Relationship
Parent/Legal Guardian
Spouse
Relative
Other
Other
Travel Information
Please provide your information as listed on your official government documents (Example: passport, driver's license or birth certificate). Please notify us of any errors or changes immediately at ambition@ashoka.org. Any changes to the following information could result in change fees.
All flights will be booked into and out of Kempegowda International Airport Bengaluru.
Arrivals: Attendees need to arrive at the host hotel by 4:00 pm IST on Tuesday, September 17, 2024.
Departures: The official program concludes at 11:00 PM on Thursday September 19, 2024. Book flights to leave on Friday morning. Flights should be booked to depart anytime on Friday. Only in rare situations will be accommodate flights to depart on Saturday, September 21, 2024.
Legal First Name
Legal Middle Name
Legal Last Name
Date of Birth
Gender
Preferred Home Airport or Train Station
Travel Method
By air
By train
By car
Airport or train station name / city / approximate miles from home
First choice
Second choice (If any)
Please describe any special travel considerations required by anyone in your party.
Name (First and Last) of nominee for travel insurance.
*For more context: please list the name of the person that if something should happen, would be the beneficiary of the travel insurance.
Additional Information
Dietary Restrictions
Allergies (If any)
Please share any accessibility concerns or additional accommodations you will need to enable full participation in the Summit.
Social media handles/websites.
T-Shirt Size (Adult Unisex)
Mailing Address
Country
Please select...
United States
India
Canada
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Poland
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Spain
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Uruguay
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Street
City
State
Please select...
Andhra Pradesh
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Dadra and Nagar Haveli and Daman and Diu
Lakshadweep
Delhi
Puducherry
Zip/Postal Code
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Confirmation Form base URL
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Double Opt-In Email Language
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ID_Indonesia
IE_Ireland
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IT_Italy
JP_Japan
KE_Kenya
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MX_Mexico
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PA_Panama
PH_Philippines
PL_Poland
PT_Portugal
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RO_Romania
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