Ahaa Learning Workshop Registration Form / Werkswinkel Registrasie Vorm
Welcome to the Ahaa Learning Workshop Registration. We've created this online registration form to make things as easy as possible to register yourself or your son/daughter for one of our workshops. Simply fill in the form below and we will get back to you within 1-2 business days.
Town /Suburb *
Your answer
Grade / Graad *
Your answer
School/ Skool: *
Your answer
Learner name & Surname / Leerder naam & Van: *
Your answer
Average Mark / Gemiddelde Punt: *
Your answer
Name of Parent / Ouer se Naam: *
Your answer
Parent contact no / Ouer kontak no: *
Your answer
Parent Email / Ouer E-pos: *
Your answer
Home Language / Huistaal: *
Your answer
Class Language / Klastaal: *
Your answer
Student Cell no / Student sel nommer: *
Your answer
Dormitory / Koshuis:
Your answer
Medication / Medikasie:
Your answer
Diagnosed Learning Impairment / Gediagnoseerde Leer Gestremdheid:
Your answer
How did you hear about us?
Agent/Referent
Your answer
Which dates are you registering for / Watter datums wil u voor registreer? (Or choose "Other" and we will contact you with upcoming dates / of kies "other" en ons sal opkomende datums vir u stuur) *
Required
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