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HOLIDAY CAMP FORM- Radiance Academy
KINDLY FILL THE FORM BELOW TO REGISTER FOR THE HOLIDAY CAMP
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FIRST NAME
*
Your answer
MIDDLE NAME
*
Your answer
LAST NAME
*
Your answer
CURRENT SCHOOL
*
Your answer
GRADE
*
Choose
GRADE 5
GRADE 6
GRADE 7
Other
PARENT'S NAME
*
Your answer
PARENT'S CONTACT
*
Your answer
KINDLY ENTER MPESA TRANSACTION CODE
( PAYBILL NO. 4095083 ACCOUNT: CAMP#)
*
Your answer
DATE OF PAYMENT
*
MM
/
DD
/
YYYY
COMMMENTS OR SUGGESTIONS
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