Registration – Switch Summer Camp

Category 1 - Participant's Personal Information

First Name*

Last Name*

Birthday*

MM slash DD slash YYYY

Age of Participant*

Gender*

Phone Number

Phone number of Participant (if applicable)

Participant’s School*

Participant’s Class*

Category 2 – Required information

Tech Skill Choice*

Front End Web Development

Graphics Design

Scratch Programming

UI/UX Design

Vocational Skill*

Tie & Dye

Fashion Illustration

Food craft

Videography & Photography

Musical Instruments

T-shirt Size*

Category 3 – Participant’s Health Information

Does participant have any dietary restrictions?*

Does the participant have any allergies?*

If yes, please state the allergies and specific instructions on what to do incase of any allergic reaction

Does the participant have any health challenges we should be aware of?*

If yes, please state the health challenge and specific instructions on what to do if the need arises

Is the participant currently on any medication?*

If yes, please state what medications and specific instructions on use.

Are there any other health instructions that you may want us to follow?

Category 4 – Parent/ Guardian Information

Name of Parent/Guardian (1)*

Name of Parent/Guardian (2)

Parent/Guardian’s Email(s)*

Phone number of Parent/Guardian (1)*

Phone number of Parent/Guardian (2)

Whatsapp number

(if different from above)

Emergency Contact Number

(if different from above)

Category 5 – Consent & Other Information

Are you okay with Switch Summer Camp using participant's picture (individual or collective) for promotional purpose?*

How did you know about the camp?

What are your expectations from the event?

Do you have any specific instruction on how to care for the participant?

Category 6 – Payment Information

pricing consent*

I understand that I will have to pay ₦30,000 as a registration fee for this event.*

Payment Option*

Online Payment

Payment through Bank

To pay, you can send the fees to:

Bank: Access Bank
Account Name: Switch Summer Camp
Account Number: 0093934559

If you elect to pay to the bank account provided above, kindly confirm payment by sending a proof of payment to [email protected]

Please note that a 25% - 50% discount will be applied to families with more than 2 participants.

Please contact us on 08107200593 or [email protected] for more information on the discount applicable.

Please note that a 25% - 50% discount will be applied to families with more than 2 participants. Please contact us on 08107200593 or [email protected] for more information on the discount applicable.

No of Participant(s)

Total

Name

This field is for validation purposes and should be left unchanged.

Registration Form