Bricks4kidz May Camp
Event Timing:
Week 1: May 28th - June 1st, 2018
Time: 10a.m - 2p.m daily.
Event Address: 16 John Chuks Nnamdi Street, Off African lane, Off Admiralty Road, Lekki Lagos.
Contact us at: 08083133899, 08094381577 or jadedeji@bricks4kidz.com
Email address *
Student’s Name: *
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Date of birth *
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Gender
School *
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Does the student have any allergies or medical condition? *
If yes, what condition? And what can we do to make the child comfortable?
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Has your child has attended Camp activity with Bricks4kidz before?
Parent/Guardian Name *
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The following people are authorized to pick up my child from camp:
Input their name and phone number
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Phone Number *
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I authorize Bricks 4 Kidz. staff to arrange transportation in case of accident or acute illness and to arrange for possible emergency medical attention. Itis understood that an effort will be made to notify me at the above phone numbers. If above such action is taken, and it is impossible to locate me orthe above named, the uninsured responsibility and expense of this service will be accepted by me. *
I consent to Bricks 4 Kidz’s use of any photographs or video recording that are taken of my child while participating in the camp activity foruse in Bricks 4 Kidz brochures and program materials that are distributed both as printed document and on the internet. No payment will be made foruse of these photographs and/or videos. Your child's name would never be used in connection with these images. *
How did you hear the camp? *
If others, how?
Your answer
Payment Details
Pre-school and Elementary: #30,000
Robotics: #40,000

PAYMENTS MADE TO STEM METS RESOURCES LTD, DIAMOND BANK 0088745885 WITH YOUR CHILD'S NAME AS REFRENCE.

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