Request edit access
CUC Evening school registration 25/26
Registration details for CUC evening school students
Sign in to Google to save your progress. Learn more
First Name *
Middle name
Surname *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Please indicate if you are a new or returning student *
Number of subjects *
Please choose subjects and level desired (Level 1 subjects are geared to form 4 students or beginners and Level 2 to form 5) *
Required
Please choose subjects and level desired (Level 1 subjects are geared to form 4 students or beginners and Level 2 to form 5) *
Required
Contact number *
Email address *
Are you interested in any subject not listed? Please indicate below.  (If there is enough interest in a particular subject or subjects we will seek to start those classes as well)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report