Register – Dineo's Digital Dreamers

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Register your child

Learner Registration

Enrolment date

First Name

Last Name

Gender

Date of birth

I the undersigned parent(s) or guardian(s) of hereby consent to enrolling the aforementioned child in the 4IR skills program at Dineo’s Digital Dreamers. This enrollment is contingent upon adherence to the terms and conditions herein, and the undersigned parties mutually accept joint and several liability for the specified amounts.

It is expressly understood that the monthly fee per child for the program is R120, the parent(s) or guardian(s) are individually and collectively responsible for all associated payments. These payments are to be made directly to the school in accordance with the agreed-upon terms

Parent Information

Mother's information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Zip Code

Cell Phone

Email

Parent Information

Father's infomation

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Zip Code

Cell Phone

Email

Contact Details

In case of an emergency(Not Parent)

First Name

Last Name

Relation to child