ICT4KIDS 2023 Cohort Registration form

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Dear Parent/Guardian,

Welcome to the ICT4KIDS 2023 Edition. Please use this form to register your child for the ICT4KIDS 2023 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 if you need more information.

All participants are expected to pay a sum of 50,000 FCFA as tuition (discount exist for first 10 kids and for registering multiple kids at once). Payment by MoMo is to the above number. MoMo Name is Olouge Eya Ekolle. Payment is made once and in full.

Name of pupil or (student) *

Location / Town (outside Buea, we will call to discuss more details) *

Sex

Female

Male

Clear selection

Date of birth *

YYYY

School(Current school of student or pupil)

Current Class *

Address *

What session will you want your child to attend? *

First session( 22nd June to 29th July)

Second session (24th July to 26th August)

Required

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? *

Yes

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 *

Yes

How will you prefer to make payment

Cash

Mobile Money

Other:

Clear selection

Amount Paid

Do you have any additional comment for us?

Submit

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