Event Registration Form
ecoMUKTI believes that it is our collectively responsibility to raise creative, inquisitive, happy and healthy children. With this in mind we bring to you various activity, hands on based experiences that will complement the child's education and provide them with essential life lessons that will help nurture our communities and the planet. We would love your feedback so we can constantly learn and improve the programs we have.

Please complete the registration information below so that we can process your application.

Participant Information
Please enter details of person participating in the event
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
School Information
Please enter details of the school / college that the participant is attending
School Name
Your answer
Class
Your answer
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