Children Day Reg. Form

Fields marked with an * are required

If you would like to take part in our Children Day, please fill in your details in this Contestant Registration Form below and you will be automatically registered after receiving your payment.

Name*

First

Last

Email*

Phone*

Date of Birth*

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JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth

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202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year

Gender*

Select valueFemaleMale

Contact Details*

Student Residential Address School Name & Address Area City State

Please Initial all Boxes*

I confirm that I have read and have understood the information on the Brochure of the KCIC Spelling Bee. I have had opportunity to consider the information, ask questions and have had these answered satisfactorily.

I understand that my participation is voluntary and that I am free to withdraw at any time, and without legal right being affected.

I agree to participate in the competition and obey the Rules and Regulations of the competition.

I agree to take part in the above name competition

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Be Part of Kada City Inter-School Competition (Spelling Bee) 2020/ 2021. Registration ongoing at various Schools in Kaduna State now. after payment send the following: (1) Name of the Pupils/Students, (2) Name of School and (3) Reference Number to any of this Phone Number: 08036488669, 08150739674, 07083338840 or send us an email below.

info@kcicspellingbee.org

Contact Form

You may contact us by filling in this form any time you need professional support or have any questions. You can also fill in the form to leave your comments or feedback. We take our membership in the community seriously. Call or email us to make an observation, ask a question, or just tell us your experience. We can wait to hear you at our table.

Name*

Middle

Email*

Phone*

Contact Details*

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What is your age range?*

Less than 12

12-15

16-25

26-35

36-50

Over 50

Prefer not to say

What is your household Income?*

less than $10,000

$10,001 - $25,000

$25,001 - $40,000

$40,001 - $70,000

$70.001 - $100,000

Above $100,000

Prefer not to say

Message*

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