Surname:

Firstname:

Middlename:

Gender: -- Select Your Gender -- Male Female

Email:

Address:

Phone:

Category: -- Select Your Category -- Camper School Leaver SUCF Pilgrim

School:

Church:

Age:

Student class: -- Select Your Next Class -- Kindergarten Pre Nursery Nursery Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 JSS1 JSS2 JSS3 SS1 SS2 SS3 Above SSCE

Group: -- Select Your Group -- Bariga Group Ibafor Group Ketu Group Obanikoro Group Saw-mill Group Ajegunle Group No Group

Has medical conditions: -- Medical Status by August -- Yes I have a Medical Condition No I will be Healthy

Medical details:

Current medications:

Sports house: --------- Blue House Yellow House White House Red House Green House