This is a portfolio demonstration of a membership database for a national childcare provider association. All data is fictitious.
View source on GitHub →
Amani Childcare Network
Staff Login
Member Registration
Join the Amani Childcare Network. Fields marked
*
are required.
Personal Details
Full Name
*
National ID
*
Phone Number
*
Email
Date of Birth
*
Gender
*
Select gender...
Female
Male
Other
Prefer not to say
Location
County
*
Select county...
Kisumu
Mombasa
Murang'a
Sub-County
*
Select sub-county...
Ward
Village / Estate
Childcare Experience
Reason for Joining
*
Max 500 characters
Children in Your Care
Years of Experience
Photo & Consent
Passport Photo
JPEG or PNG, max 2MB
I consent to my data being stored and processed by the Amani Childcare Network in accordance with the
Kenya Data Protection Act, 2019
.
*
Submit Registration