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Blank registration request form
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Registration request form — walk-in or online
Blank version of the website registration request. Complete the sections relevant to the learner and chosen programme. A parent or authorised guardian must complete child-related authorisation. A request is not a confirmed enrolment.
1. Learner and contact details
- Enquiring for: myself / child or learner in my care / organisation __________________________________________
- Learner / contact person full name * __________________________________________
- Learner age group: under 13 / 13–17 / 18 or older * __________________________________________
- Contact phone / WhatsApp * __________________________________________
- Contact email (required for email replies) __________________________________________
- Preferred response: WhatsApp / phone / email __________________________________________
- Nationality (optional) __________________________________________
- Country of residence * __________________________________________
- County / city or town * __________________________________________
- Parent / guardian full name (required for children) __________________________________________
- Guardian relationship __________________________________________
- Guardian phone __________________________________________
- Guardian email (optional) __________________________________________
- Guardian authorisation confirmed: yes / no; signature __________________________________________
2. Programme and learning goals
- Course / programme * __________________________________________
- English programme, if applicable __________________________________________
- Preferred holiday language, if applicable __________________________________________
- Child’s age in whole years (4–17; required for the holiday programme) __________________________________________
- Requested course level (optional) __________________________________________
- Current level / complete beginner __________________________________________
- Previous study or examinations __________________________________________
- Placement guidance requested: yes / discuss / no __________________________________________
- Learning goal / reason for joining __________________________________________
- Highest education level (caregiving, optional) __________________________________________
- Previous care training or experience (optional) __________________________________________
- Organisation requesting corporate training __________________________________________
- Contact person role __________________________________________
- Approximate number of participants __________________________________________
- Preferred training venue __________________________________________
- Team skills / training needs __________________________________________
3. Study arrangement and availability
- Mode: physical / live online / hybrid / private one-to-one __________________________________________
- Lesson preference: group / private / family / help me choose __________________________________________
- Preferred start month (YYYY-MM) __________________________________________
- Preferred days and times __________________________________________
- Time zone / nearest major city (required for online or hybrid) __________________________________________
- Device and internet readiness / joining support needed __________________________________________
- Practical learning or access support (no medical details) __________________________________________
4. Accommodation and payment contact
- Accommodation: not needed / hostel / nearby rooms / guidance __________________________________________
- Payer: self / parent or guardian / employer / sponsor / other __________________________________________
- Payer name / organisation __________________________________________
- Payer relationship to learner __________________________________________
- Payer email __________________________________________
- Payer phone __________________________________________
- Permission to share payer details: yes / no __________________________________________
- Invoice / receipt channel: discuss / email / WhatsApp / print __________________________________________
5. Final details and consent
- How did you hear about Teslak? * __________________________________________
- If Other, specify the source * __________________________________________
- Any other question? __________________________________________
- Privacy notice read and registration processing consent: yes / no __________________________________________
Signatures and staff recording
Applicant / guardian signature: ______________________ Date: __________ Staff receiving the form: ______________________ Date received: __________ Digital registration reference: ______________________ Entered by: __________ Staff must enter the complete signed paper request at teslak.co.ke/admin/walk-in. Record the generated digital reference here. Store the completed paper form securely; do not send it to public social channels.
- Required: full name, phone, course, country, city/town, age group (except corporate training), how you heard about Teslak and privacy consent. Complete guardian, online and payer details whenever those sections apply.
- Read the current privacy notice at https://teslak.co.ke/privacy before signing. Do not include identification documents, card details or bank-login details.
- Fees, class availability, timetable, entry requirements and payment arrangements are confirmed separately by Teslak.
- Contact Teslak: WhatsApp 0748744988.
Confirm your arrangements.
Keep this information for reference. Confirm availability, fees and your timetable with Teslak before booking.
Contact Teslak ↗