Membership Application Form

NOTE: This is not a Coding Ladies Academy application form. To register at the academy click here

First Name

Last Name

Phone

Date of Birth

Country

Region

City

School

Level of Education

Field of Study/Profession

Why are you interested in this club?

Choose a Club of Interest

Are you available to commit to the activities of the club?

How did you hear about this club?

I confirm that all the information provided is accurate and true to the best of my knowledge.

Need assistance? Contact us:

Email: hello@codingladies.club
Phone: +233 55 838 2705
Location: Takoradi, Ghana