Course Registration Form

Student Registration Form

For registration for our SKILLS for Life and Work Programme for 16-17 year olds
Student Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Student E-mail*
example@example.com
Phone Number*
What school are you currently studying at?*
Parent/Guardian Name *

First NameLast Name
Parent/Guardian Contact Number *
Address*

Street Address

Street Address Line 2

Citycounty

Postal code
What course are you interested in:*

BarberingHair & BeautyJoineryPlumbingComputer TechnologyCateringChildcare
How did you hear about this course?*
Please state what your disability is if you have one (you can join up to 24 years old)
Should be Empty:

Student Registration Form