ICT/STEM ACADEMIC CAMPS SUMMIT AND TECH RALLY

Welcome to the Participant Registration Form for the High Tech Center for Nigerian Women and Youth ICT/STEM Academy, Camps, Summit & Tech Rally!

Are you passionate about technology, innovation, and problem-solving? Do you want to gain valuable ICT and STEM skills, connect with mentors, and be part of a growing network of changemakers?

This is your opportunity!

The High Tech Center for Nigerian Women and Youth invites you to register for our upcoming ICT/STEM Academy, Camps, Summit, and Tech Rally—a dynamic platform designed to equip participants with practical digital skills, spark creativity, and promote innovation among Nigerian youth and women.

By joining this program, you will:

✅ Gain hands-on training in ICT and STEM
✅ Participate in interactive workshops, camps, and tech competitions
✅ Connect with industry leaders, mentors, and fellow innovators
✅ Showcase your ideas and talents
✅ Receive a certificate of participation

Please fill out this form with accurate information. All responses will be kept confidential and used for program logistics and communication.

Let’s build the future together—through tech, innovation, and inclusion!

SURNAME *
FIRST NAME *
SEX *
EMAIL *
CONTACT NO. (WHATSAPP) *
AGE *
Required
STATE OF RESIDENCE *
LOCAL GOVERNMENT AREA *
Geo-Zone Venues and Dates:
 *
Please Select a Maximum of 3 Courses from the List Below *
Required
 SELECT YOUR PREFERRED PAYMENT METHOD
PAYTO: 0019052855 Sterling Bank
               OR 0034611000 ACCESS BANK
               ACC. NAME: HIGH TECH CENTER FOR   WOMEN AND YOUTH  
*

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HOW DID YOU HEAR ABOUT US?
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REFERRAL CODE
ANY MEDICAL OR SPECIAL NEEDS WE SHOULD BE AWARE OF?  
  CONSENT DECLARATION *
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