AfriVenturesTM Registration Form
Choose Your AfriVenture!!
Sign Up For An AfriVentureTM! *
One child $100 ; $150 for 2 or more children same household plus a materials fee per child
Required
Parents First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Street Address *
Your answer
Street Address2
Your answer
Apt No.
Your answer
City *
Your answer
Zip Code/Mail Code *
Your answer
State/Province
Your answer
Country *
Phone Number *
Your answer
How Many Students Are You Registering? *
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