MX OpenTech 3.0 High School Camp Registry

JavaScript אינו מופעל בדפדפן שלך, ולכן לא ניתן לפתוח את הקובץ הזה. יש להפעיל את JavaScript ולטעון מחדש.

MX OpenTech 3.0 High School Camp Registry - STUDENT INFORMATION FORM

**If there are siblings, a separate form entry is required for each.**

Camp Session # *

Select the session # for Irvine and Los Alamitos Labs.

S1: Dec 21 - 23 OpenTech 3.0 for High School

S2: Dec 28 - 30 - OpenTech 3.0 for High School

חובה

Camp Location *

Camp Type (Learning Platform/Time Format)

OpenTech 3.0 High School

Student Grade *

Student First Name *

Student Last Name *

Student Gender *

Mother/Guardian First Name *

Mother/Guardian Last Name *

Father/Guardian First Name *

Father/Guardian Last Name *

Contact eMail *

Valid eMail ID required

Preferred Phone *

Preferred Phone

Alternate Phone

Phone

Camp Fee *

Payment Status *

Address City *

Enter the name of the City (Street Address Not Required)

Address Zip *

Health Concerns *

Health Concerns, Medications, and Special Educational Needs if any. If nothing to report enter "None"

Other Comments

Enter any info regarding Siblings, Grouping Preferences, Prior engineering/technology experience/Drop-off/Pick-up by a designated person, etc.

שליחה

ניקוי הטופס

אין לשלוח סיסמאות באמצעות Google Forms.