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Application Form
Registration Form - Saudi Space Program
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Student Name
*
First
Middle
Last
Student Age
*
Student School Name
*
Where will you attend the program?
*
Jeddah
Riyadh
Khobar
Student Email
*
Email
Confirm Email
Please apply once with your email. Do not use same email to apply for second/ another applicant. The email has to be unique to the each applicant.
Dietary/Allergy Restrictions
*
Please write "None" if not applicable
T-Shirt Size
*
XS
S
M
L
XL
XXL
Medical Conditions
*
Please write "None" if not applicable
ID: Saudi National/Resident
*
Parent Full Name
*
First Name, Middle Name and Last Name
Parent Phone Number
*
Parent Email
*
Email
Confirm Email
Where did you hear about the program?
Terms and Conditions
*
Please accept our application
Terms and Conditions
Registration Payment
ID: Total hear
Application Fee
*
Price:
375.00 ﷼
Coupon
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Total
*
0.00 ﷼
Debit / Credit Card
*
Pay & Submit
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