Student Registration Form

Student Registration

Please complete this form to register your child at Wingu Academy or to register for a free trial with us.
Have you already had a free demonstration?

Yes No
Do you want a 4-day free trial?

Yes please, I want a free trial No, I want to start asap
Guardian 1 Full Name *

First Name Last Name
Guardian 1 Phone Number *

Area Code Phone Number
Guardian 1 ID number
Guardian 1 E-mail
Guardian 2 Full Name

First Name Last Name
Guardian 2 Phone Number
Guardian 2 ID number
Guardian 2 E-mail
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Name

First Name Last Name
Student age at the end of the year
Current grade or grade to start
Student 1 Email
example@example.com
Student Phone Number

Area Code Phone Number
Curriculum

IGCSE AS-level A-level Primary School (Grade 1-5) Lower Secondary School (Grade 6-7)
Any important notes that you want us to know?
Planned starting date of enrollment

Month Day Year
Date
Subject Choices

Afrikaans (Second Language) English (First Language) Mathematics Physics (Physical Sciences) Chemistry (Physical Sciences) Accounting Business Studies Biology (Life Sciences) Computer Science Geography History Science (Primary School) Information and Communication Technology (Primary School) Global Perspectives (Primary School) Art and Design (Primary School)
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