Holiday Program Registration

Registration received

Thank you! The participant's registration has been submitted.

Amount payable

KSH 0

Please complete payment via ABSA Paybill 303030, Account SUV4#.

By completing this form, you consent to the collection and use of your personal data for registration, communication, and coordination of the Skills Training Program. All information is treated as confidential and used only to:

Contact participants or parents/guardians regarding program updates and safety,
Allocate participants to appropriate training sessions, and
Maintain internal records for monitoring and reporting purposes.

Participant Information

Full Name of the participant *

Age * Must be at least 12

Gender *

Male Female

Area of Residence *

Parent/Guardian Information

Parent/Guardian Full Name

Phone Number * Used to generate your payment account number

Alternative Phone Number

Email Address *

Program Selection

Program/Activity Applying For * Select at most 3. For each, choose a duration. (3 days = KSH 3,000 · 5 days = KSH 5,000 · 12 weeks = KSH 30,000)

Health & Safety Information

Does the participant have any medical conditions, allergies, disabilities, or special needs Avon should be aware of? *

Yes No

If yes, please specify *

Is the participant currently on any medication? *

Yes No

If yes, please specify *

Consent and Permissions

I confirm that the information provided is accurate, and I consent to the participant attending the EILA Program at Avon Centre and participating in supervised practical activities. *

Do you consent to the participant being photographed or video-recorded during program activities for documentation and promotional purposes? *

Yes No

Amount Payable

No programs selected yetKSH 0

TotalKSH 0

Pay usingABSA Bank Paybill

PayBill303030

AccountSUV4#YourPhoneNumber

AmountKSH 0

Did you find any challenge while paying? *

No Other

Please describe the challenge