Camp Registration | STEM METS RESOURES LTD

Personal Details

Please enter your personal details below.

Student's Name

Email Address

Date of birth

Gender

Male

Female

School

Additional Details

Please enter your additional details here.

Does the student have any allergies or medical condition?

Yes

No

If yes, what condition? And what can we do to make the child comfortable?

Has your child has attended Camp activity with Bricks4kidz before?

Yes

No

Parent/Guardian Name

Phone Number

The following people are authorized to pick up my child from camp:

How did you hear the camp?

Facebook

Instagram

Twitter

Friends and family

Lagos mums

Others

Camp Activity Name

Reference Number

What week will your child be attending?

Week 1

What camp will your child be attending? (Week1)

Junior Campers (Ages 3-5) N30,000

Elementary Robotics (Ages 6-9) N30000

Advance Robotics and Coding (Ages 9 upwards N50,000)

Total Fee

I authorize STEM METS. staff to arrange transportation in case of accident or acute illness and to arrange for possible emergency medical attention. Itis understood that an effort will be made to notify me at the above phone numbers. If above such action is taken, and it is impossible to locate me orthe above named, the uninsured responsibility and expense of this service will be accepted by me.

I agree

I consent to STEM METS use of any photographs or video recording that are taken of my child while participating in the camp activity foruse in Bricks 4 Kidz brochures and program materials that are distributed both as printed document and on the internet. No payment will be made foruse of these photographs and/or videos. Your child's name would never be used in connection with these images.

Yes

No