Zero to Startup Application Form
Please fill in this application form before Friday January 12th, 2018 at 5pm.

For questions concerning missed classes or cancellations please refer to our FAQs page: http://steamlabs.ca/about-us/faqs/

Parent Name *
Your answer
Parent Email *
Your answer
Please retype Parent Email *
Your answer
Participant Name *
Your answer
Participant Email *
Your answer
Please retype Participant Email *
Your answer
Participant Gender *
Your answer
Participant Birthday *
MM
/
DD
/
YYYY
Are you able to commit it to all 13 classes? *
The program runs every Saturday from 1-4:30pm from January 13 - April 14 (skipping Family Day weekend, February 17)
Are you requesting a scholarship? *
How much of a discount do you need?
Your answer
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