Personalized Class Registration for Parents

Parent’s/Guardian Name

Please enter your full name.

This field is required.

Contact Email Address

We will use this email to communicate with you.

This field is required.

Contact Phone Number

Include country code if applicable. Example: +1-555-555-5555

This field is required.

Child’s Name

Enter your child’s full name.

This field is required.

Child’s Age

Enter your child’s age in years.

This field is required.

Child’s Class/Grade in School

Enter your child’s grade

This field is required.

Preferred Class Days

Choose any 3 .

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

This field is required.

Time Zones

Choose preferred time zones.

This field is required.

Preferred Time

This field is required.

Preferred Subjects

List subjects you want your child to be focused in.

This field is required.

Special Requirements

Please describe any special requirements or notes for your child’s classes.

I understand that classes will commence one week after payment is made

This is to help us craft a personalized curriculum that fits your child’s learning needs.

This field is required.

Kindly make a payment of N120,000 to 6018745608,
MYINTELLECTA INNOVATIONS LIMITED,
Moniepoint MFB. And send your proof of payment to admin@myintellecta.com or 08124968146 on WhatsApp.