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*

Hidden

Category 2 – Required information

Hidden

Tech Skill Choice*

Front End Web Development

Graphics Design

Scratch Programming

UI/UX Design

Hidden

Vocational Skill*

Tie & Dye

Fashion Illustration

Food craft

Videography & Photography

Musical Instruments

Hidden

T-shirt Size*

Category 2 – 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 3 – 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 4 – Consent & Other Information

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

Would you like to stay informed about Switch Summer Camp's latest news, updates, and activities? If so, please consent to receiving occasional emails from us. We promise to keep your information safe and only use it to share relevant and exciting content with you!*

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 5 – 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

Phone

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

Registration Form

Category 1 - Participant's Personal Information

Category 2 – Required information

Category 2 – Participant’s Health Information

Category 3 – Parent/ Guardian Information

Category 4 – Consent & Other Information

Category 5 – Payment Information

Brilliance Coded

Switch Summer Camp 2022 Memories