Name * First Name Last Name Email * Gender * Male Female Date of Birth Phone Number (Whatsapp) * What should coaches know about you? * please take this opportunity to explain what makes you unique Are you already a registered member of CCI? * Yes No Where are you from? * City High School Name * High School Graduation (completion or expected date) What type of student are you? * Good (A’s and B’s) Average (C’s) Bs and C’s Below average (C’s and D’s) Parents/Guardian Name * Parents/Guardian Phone Number * Parents email address * How did you hear about this event? * Please list your social media handles below I understand that I have to pay a registration fee * Yes Registration Fee 1,000 KES Paybill: 247247 Acc no: 010595 Please write the M-Pesa confirmation code below I can affirm that everything I have entered in the form is completely true * Yes No Thank you for registering to IndexG CCI Esports event. Don’t forget to follow @indexgesport on social media.We will get in touch shortlyIMPORTANT:Bring the m-pesa transaction message with you on the day of the event.
