Stem Club 2018 - Expression Of Interest
Thank you for your interest in Stem Club. If we could get some details from you we will use these to get in touch as soon as we can to find the best group for your child.
Child's Details:
First Name *
Your answer
Surname *
Your answer
Gender *
Age *
Parent Involvement
Current School *
Your answer
If your child is enrolling with some of her or his friends include their names here
Your answer
Parent/Guardian
Title
First Name *
Your answer
Surname *
Your answer
Address
Your answer
Suburb
Your answer
Post Code
Your answer
Contact Phone Number *
Your answer
E-mail Address *
Your answer
How would you like to be contacted? *
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