Pupil’s Name:
[text* pupil-name]
Pupil’s School Grade:
[text* pupil-grade]
Pupil’s Age:
[number* pupil-age]
Subject Preference:
[checkbox* subject-preference use_label_element “Yoruba” “Igbo” “Hausa”]
Guardian/Parent’s Name:
[text* guardian-name]
No. of Children to be Enrolled:
[number* no-of-children]
Guardian/Parent’s Email:
[email* guardian-email]
Guardian/Parent’s Phone Number:
[tel* guardian-phone]
City:
[text* city]
State:
[text* state]
Country:
[text* country]
[submit “Submit”]
