SUMMER CAMP & TEEN EXPO REGISTRATION
Parents First Name
*
Parents Last Name
*
Email Address
*
Mobile Phone Number
*
Other Phone Number
Number of Children
1
2
3
Child
First Name and Last Name of the Child
*
Date of Birth
*
Date of Birth
Grade
Name of School
Child 2
First Name and Last Name of the Child
Date of Birth
Grade
Name of School
Child 3
First Name and Last Name of the Child
Date of Birth
Grade
Name of School
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MERCI DE COCHER AFIN DE CONFIRMER:
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Required
*
J’accepte de partager toutes mes données personnelles avec les collèges, camps et/ou les programmes concernant ma recherche.
Name
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