The Wit Afterschool Registration Form

The WIT After-school New Student Registration
Child Information
Child's Full Name

First Name Surname
Age
Grade or Class Level
Portrait Picture of Child(ren)

Browse Files
This will enable us provide name tags for all campers to match faces with names. Cancel of
Address

Street Address

Street Address Line 2

City Region

House No.
Parent/Guardian Information
Parent’s Name

First Name Last Name
Mobile Number

Code Phone Number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number

Code Phone Number
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Lunch/Snacks

Yes, provide lunch for my child(ren) No, I'll provide lunch for my child(ren)
Children must be signed in/out daily. List any additional person(s), if not the parent/guardian authorised to sign child in/out of camp.
Name of Person(s) to Drop off/Pickup

Name Tel Number
What programs / clubs are you registering your child for? Preferably two clubs per child.

Reading & Writing - GHS 800/term Homework Help - GHS 600/term Coding and Robotics - GHS 800/term Piano & Music lessons - GHS 700/term Swimming club - GHS 800/term Dance, Poetry & Drama - 600/term Math and Science Club - 700/term
Payment Details and Other Information:

The Afterschool program runs 10 weeks (school terms differ). We break on school holidays, Easter and Christmas. Program run on weekdays (Mon-Fri), 2pm to 6pm each day.
- Time : 3:30pm -6pm,
- Venue : The Wit School, Fourth street, East Legon, Accra
- Ages 2 to 12 years. (Older and younger may be admitted per our discretion. Kindly call Programs director to discuss)
- Daily drop-in rate is GHS 80/child
- 10% Discount for parents/guardians with multiple children (2 or more)
- All students will be provided with an Afterschool T-shirt (to be worn on Fridays)
- For coding and computer literacy classes, computers may be provided in class. However , students are encouraged to bring along their personal laptops and tablets for teaching/learning purposes only.
- Use of Mobile Phones and video games is strictly not allowed during school hours i.e. 2pm - 6pm.
- Healthy Snacks and Lunch (no fizzy drinks) will be served (optional)
- Parents/Guardians with multiple children should fill a form per child if applicable
For more information and equiries, kindly call the Programs Director on 0203190400 / 0209633192 or send an email to thewitschools@gmail.com
Payment Option

Bank Transfer (The Wit School, Ecobank Acc no. 1441001496169, East Legon Branch) Enclosed Cash Cheque Mobile Money (0591020561) MTN
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities organised by The Wit Schoo as outlined on the timetable during the program. I authorise the use of pictures and videos for marketing purposes only, on all promotional materials.
PARENT/GUARDIAN SIGNATURE (printed forms only):

Signature:............................. Date:....................
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

The WIT After-school New Student Registration