Enrollment
Form

01

Child Information

Details about the child being enrolled

First Name *

Last Name *

Age * (8–16)

Gender * Select gender Female Male Prefer not to say

Date of Birth (optional)

02

Parent / Guardian

Primary contact for this enrollment

First Name *

Last Name *

Email Address *

Phone Number *

Relationship to Child * Select relationship Mother Father Guardian Other

Home Address (optional)

03

Emergency Contact

Optional, but strongly recommended

Full Name

Phone Number

Relationship to Child

04

Health & Medical

Help us keep your child safe in the kitchen

My child has allergies (food or otherwise)

Allergy details

My child has a health condition or medical issue

Health condition details

Dietary Restrictions (optional)

Current Medications (optional)

05

Campus Selection

Choose which campus your child will attend

Kaduna Campus

JS Innovation Plaza, Stadium Roundabout, Kaduna

+234 9125236378

06

Cohort Selection

Choose which cohort your child will attend

Cohort 1

4 Aug 2026 – 15 Aug 2026

2 weeks intensive

13 spots remaining

Cohort 2

18 Aug 2026 – 29 Aug 2026

2 weeks intensive

16 spots remaining

07

Additional Information

Optional but helpful

How did you hear about this program? Select an option Social media Friend / Family Campus visit Website Flyer / Poster Other