Smart Kids After School Club Registration
For more info kindly contact us at: 08059632704, 08031332720.
Or Visit our center at No 16 Usuma Close Maitama Amusement Park
First Name *
Your answer
Surname *
Your answer
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
School *
Your answer
Parent/Guardian Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Authorized Pick Up Person (Full Name) *
Your answer
Authorized Pick Up Person (Phone Number) *
Your answer
Does your child have any medical condition? *
Required
Does your child have any allergies? *
Required
Does your child have any special needs? *
Required
T Shirt Size *
Required
Select Other Services (Optional)
Select Schedule for Maths Tutorial
Where did you hear about us *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.