RHEMA Youth Registration Form [Aliens, Clones & Masks]
Registration for the Aliens Camp has closed!!!

[ Clones and Mask Port Harcourt) Registration fee is N10,000.
[ Clones and Masks Kaduna ] Registration fee is N8,000.
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Kindly make all payments to Guaranty Trust Bank, Rhema Bible training Centre, 0107777181, including the child's name in the remark.

You can also pay online: https://paystack.com/pay/aliens2019

NOTE: Your payment reference or payment remark can be accessed from your email alert or SMS alert.
Age range: 11 - 18 yrs
ALL REGISTERED CHILDREN SHOULD BE 11YEARS OLD BEFORE THE 18TH OF AUGUST, 2019.
Teen's First Name *
Your answer
Teen's Last Name *
Your answer
Which Event/ City? *
T-shirt size:
Name of Church
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Last class completed *
Parent's Fullname *
Your answer
Parent's Email *
Your answer
Parent's Mobile *
Your answer
Emergency contact number *
Your answer
Emergency contact number relationship *
Your answer
House Address *
Your answer
Allergies/Disability/medical condition
Your answer
Food Allergies
Your answer
Payment Reference/ Receipt Number (Your payment reference or payment remark can be accessed from your email alert or SMS alert.) *
Your answer
Depositor's Name
Your answer
Submit
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