2018 Summer Course Enrollment Form
All information provided will be kept strictly confidential and will never, for any reason, be shared with a third party. A company representative will contact you shortly after this form is received. Enrolment is on a first-come, first-served basis.
Student's Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
School Grade / Year (in 2017/2018) *
School *
Student's Email *
Student's Tel # *
Parent's Name *
Parent's Email *
Parent's Tel # *
Address *
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