Alternative Concepts Limited Public Speaking and Creative Writing Classes for Kids & Teens Registration Form

Alternative Concepts Limited Public Speaking and Creative Writing Classes for Kids & Teens Registration Form
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail
example@example.com
How did you hear about us?*
Please Specify*
Class Experience : Have you taken any Public Speaking course before?
What are your goals for this class?
Tell us how you heard about us?
Will you be willing to recommend us?

YesNoMaybe
Permission to use your pictures or videos during the course on our social media platform
PAYMENT INFORMATION
Children Online Class: N70,000
Children Physical Class: N150,000
Account Name: Alternative Concepts Limited
Account Number: 3009028677
Bank Name: Addosser Microfinance Bank Limited
Should be Empty: