Student Registration - Cheelony Academy

First Name *

Last Name *

Email Address * We'll send your login credentials to this email

Phone Number

+268

Date of Birth

Select day, month, and year from dropdowns

Gender

Male Female

Select Your Grade *

Parent/Guardian Full Name *

Parent Email * For payment notifications

Parent Phone (MoMo) *

+268

For MoMo payment

Relationship

Payable after email verification

E0.00

I confirm that the information provided is accurate and I agree to the terms and conditions.