LAPA Registration Form

* Marked fields are Mandatory
1) Civil ID *
2) First Name *
3) First Name in Arabic
4) Father's Name *
5) Father's Name in Arabic
6) Family Name *
7) Family Name in Arabic
8) Nationality *
9) Governorate *

 Personal Contact Details
10) Permanent Address *                                  
11) Student Email 
12) Home Phone No *
13) Student's Mobile Number *
14) Parent's Mobile Number *
15) Contact Person Name In case of   Emergency *
16) Contact Person No In case of   Emergency *
17) What is your relation with   Emergency Contact Person ? *

 Application Information
18) What is the Applicant Status ? *
19) Name of School/College/University
20) Languages
21)  Place of Work ? (If any)
22) Do you have any dance/drama Experience?
23)  What classes are you interested in ?
 
  

LoYAC, Bayt Lothan, P.O.Box 386, Salmiya 22004, Kuwait Tel:+96525723606, Fax: +96525744577, Email: ahmednassar@loyac.org