ICT4KIDS 2019 Registration form
Dear Parent/Guardian,

Welcome to the ICT4KIDS program. Please use this form to register your child for the ICT4KIDS 2019 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 +237 676 410 426 / +237 670 879 560 if you need more information.

All participants are expected to pay a sum of 25,000 FCFA as tuition.
Name of pupil or (student) *
Your answer
Sex
Date of birth *
MM
/
DD
/
YYYY
School(Current school of student or pupil)
Your answer
Current Class *
Your answer
Address *
Your answer
What session will you want your child to attend?
Guardian's name *
Your answer
Relationship to the child *
Your answer
Guardian's address *
Your answer
Guardian's email
Your answer
Guardian's telephone number *
Your answer
Are you a legal guardian to this child? *
Does this child have any recorded allergies? Please let us know
Your answer
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
Amount Paid
Your answer
Do you have any additional comment for us?
Your answer
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