Registration Form

Angels on Earth Learning Centre

No. 47 Abokobi Avenue,

GM-140-0053, Accra, Ghana

info@angelsonearthedu.com

+233244688598
Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Student Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian / Parent 1 Name *

First NameLast Name
Guardian / Parent 1 E-mail*
example@example.com
Guardian / Parent 1 Mobile Number *
Guardian / Parent 2 Name

First NameLast Name
Guardian / Parent 2 E-mail
example@example.com
Guardian / Parent 2 Mobile Number
Additional Comments
Should be Empty: