Registration – Easter Virtual Camp 2021

Jordan Hill Creative Writing & Reading Workshop > Registration – Easter Virtual Camp 2021

CHILD’S DETAILS
Full First Name(s) and Surname of Child (as registered on birth certificate)*
First Surname
Date of Birth*
Gender*
- Male
- Female
Child's Age*
SCHOOL ATTENDING
Name*
Present Class*
Class In New Session*
Programme Class Group*
FATHER’S DETAILS
Name*
Email*
Telephone*
Whatsapp Phone Number ( If Interested in being added to a group)
MOTHER’S DETAILS
Name*
Email*
Telephone*
Whatsapp Phone Number ( If Interested in being added to a group)
Child’s Special Interest
Payment Reference Number*
Upload Proof Of Payment*
Allowed Ext: jpg, gif, png Max Size: 5mb
Child's Passport Photo*
Allowed Ext: jpg, gif, png Max Size: 5mb
I agree*
- I agree with storage, handling and use of my data and media by Jordan Hill Creative Writing & Reading Workshop.
Phone
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CHILD’S DETAILS