TLDP Registration

KIVUKO Africa - Children & Youth Talent and Leadership Development Program

Welcome to the KIVUKO Africa Children & Youth Talent and Leadership Development Program. The program starts on 25 July, 2026.

This program is designed to help children and youth develop in talent and leadership based on a Christian foundation.

Please complete the registration form below.

Reg Form - ENGLISH

Participant Information

1. Full Name of Participant (Child/Youth)

2. Age

3. Gender

4. Date of Birth

5. School Name

6. Class/Level

7. Area of Residence

Parent/Guardian Information

8. Parent/Guardian Full Name

9. Relationship to Participant

10. Phone Number

+255

11. Alternative Phone Number (Optional)

+255

12. Email Address (Optional)

Talent Development Program (Club Selection)

Participants will join talent development clubs based on their interests, abilities, and passion, while also being equipped through identity, public speaking, and social emotional learning sessions designed to support personal growth and leadership development.

Which other Talent Development Club is the participant most interested in?

14. What talents, hobbies, skills, or abilities does the participant already show interest in?

15. What would you like the participant to gain from this program?

Health & Special Support (Optional)

16. Does the participant have any medical condition, allergy, or special support need we should know about?

If Yes, Explain

Program Contribution & Payment

Participation in the KIVUKO Africa Children & Youth Talent and Leadership Development Program requires a program contribution to support learning materials, facilitation, and program activities.

Program Contribution Amount: TZS 35,000 per program day. This may be paid per program day or monthly.

Payment Options

1. M-Pesa

Number: +255 755 104 242
Name: Happiness Sengi

2. Bank Transfer

Bank Name: Diamond Trust Bank
Account Name: Happiness Sengi
Account Number: 7320192001

3. Cash Payment

Cash payments can be submitted during physical registration or program sessions.

Payment Status:

Transaction Reference Number (If Applicable):

Consent & Declaration

I confirm that the information provided above is true and correct. I understand that participation in the KIVUKO Africa Children & Youth Talent and Leadership Development Program requires commitment to the program guidelines and schedule.

Parent/Guardian Name

Date

For More Information: +255 754 258 681

Raising Christ-like Leaders

KIVUKO Africa - Programu ya Kuendeleza Vipaji na Uongozi kwa Watoto na Vijana

Karibu kwenye Programu ya KIVUKO Africa ya Kuendeleza Vipaji na Uongozi kwa Watoto na Vijana. Programu inaanza 25 Julai, 2026.

Programu hii imeandaliwa kuwasaidia watoto na vijana kukua katika uongozi na vipaji katika misingi ya Kikristo.

Tafadhali jaza fomu hii kwa usahihi.

Reg Form - KISWAHILI

Taarifa za Mshiriki

1. Jina Kamili la Mshiriki (Mtoto/Kijana)

2. Umri

3. Jinsia

4. Tarehe ya Kuzaliwa

5. Jina la Shule

6. Darasa/Kiwango

7. Eneo la Makazi

Taarifa za Mzazi/Mlezi

8. Jina Kamili la Mzazi/Mlezi

9. Uhusiano na Mshiriki

10. Namba ya Simu

+255

11. Namba Mbadala ya Simu (Hiari)

+255

12. Barua Pepe/Email (Hiari)

Programu ya Kuendeleza Vipaji (Uchaguzi wa Klabu)

Washiriki watajiunga na vilabu vya vipaji kulingana na maeneo wanayopenda, uwezo, na vipaji vyao, huku wakijengewa uwezo kupitia vipindi vya utambulisho, kuzungumza na hadhara, na elimu jamii na kihisia vinavyolenga kusaidia ukuaji binafsi na maendeleo ya kiuongozi.

Ni Klabu gani nyingine ya Vipaji mshiriki anapendelea zaidi?

14. Je, ni vipaji gani, ujuzi, au uwezo, ambao tayari mshiriki anaonesha kufurahia?

15. Ungependa mshiriki ajifunze nini kupitia programu hii?

Afya na Mahitaji Maalum (Hiari)

16. Je, mshiriki ana changamoto yoyote ya kiafya, allergy, au hitaji maalumu ambalo tunapaswa kufahamu?

Kama Ndiyo, Elezea

Mchango wa Programu na Malipo

Ushiriki katika Programu ya KIVUKO Africa ya Kuendeleza Vipaji na Uongozi kwa Watoto na Vijana, unahitaji mchango ili kuwezesha upatikanaji wa vifaa vya kujifunzia, uendeshaji wa vipindi, na shughuli za programu.

Kiasi cha Mchango: TZS 35,000 kwa program ya siku. Hii inaweza kulipwa kwa programu ya siku au kwa mwezi.

Njia za Malipo

1. M-Pesa

Namba: +255 755 104 242
Jina: Happiness Sengi

2. Benki

Jina la Benki: Diamond Trust Bank
Jina la Akaunti: Happiness Sengi
Namba ya Akaunti: 7320192001

3. Malipo ya Taslimu

Malipo ya taslimu yanaweza kufanyika wakati wa usajili au siku ya programu.

Hali ya Malipo:

Namba ya Muamala (Kama Ipo):

Ridhaa na Tamko

Ninathibitisha kuwa taarifa nilizotoa hapo juu ni sahihi na kweli. Ninaelewa kuwa ushiriki katika Programu ya KIVUKO Africa ya Kuendeleza Vipaji na Uongozi kwa Watoto na Vijana kunahitaji kufuata ratiba na miongozo ya programu.

Jina la Mzazi/Mlezi

Tarehe

Kwa Maelezo Zaidi: +255 754 258 681

Kuinua Viongozi Mfano wa Kristo