ICT4KIDS 2021 Registration form
Dear Parent/Guardian,

Welcome to the ICT4KIDS program. Please use this form to register your child for the ICT4KIDS 2021 session. We will need complete and accurate information about your child for registration purposes, so please, fill out all fields.

Please feel free to reach out to us on +237 670 879 560 / +237 685 565 307 if you need more information.

All participants are expected to pay a sum of 50,000 FCFA as tuition.
Name of pupil or (student) *
Sex
Clear selection
Date of birth *
MM
/
DD
/
YYYY
School(Current school of student or pupil)
Current Class *
Address *
What session will you want your child to attend?
Guardian's name *
Relationship to the child *
Guardian's address *
Guardian's email
Guardian's telephone number *
Are you a legal guardian to this child? *
Does this child have any recorded allergies? Please let us know
I give permission to ICT4KIDS to use the photos of this child in all communication relevant to or pertaining to this project *
How will you prefer to make payment
Clear selection
Amount Paid
Do you have any additional comment for us?
Submit
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