REGISTRATION FORM – 2017 LMT SUMMER SCHOOL FOR TWEENS AND TEENS CHILD/WARD INFORMATION Surname First and Middle name(required) Age(required) Date of Birth(required) Gender(required) Contact Address(required) School(required) Class(required) Child's Allergies (if any)(required) PARENT/GUARDIAN INFORMATION(required) PARENT GUARDIAN Name(required) Telephone(required) Email(required) Additional Contact Information (Name and Telephone) - where parent/guardian cannot be reached in case of emergency(required) Do you consent to your child/ward attending the 2017 OWF Life Management Training Summer School?(required) Yes No My child/ward will be attending the Summer School in(required) Lekki - 17th July to 4th August Ikeja - 7th - 25th August Signed by (Please type name and date)(required)
