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2024 Registration Form

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Sign Up Your Child for Global Change Agent Academy

Registration and participation in the Academy is free

Student First Name

Student Last Name

Student Date of Birth

Pick Student gender

Address

Parent Full Name

Parent Mobile Phone

Parent Email

Any other information you want to share?

Country of Residence

Pick Preferred Class Day

Parent Signature

I agree to the Memorandum of UnderstandingView the short MoU to continue. This is a MUST READ. Don't just click I agree!

Thanks for submitting! Check your email Inbox or Spam/Junk Folders to complete your registration

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