STEAM Class Registration Form
Duration: July 29th - August 20th, 2017
Time: Saturday and Sunday 12:00 PM to 1:00 PM
Location: 2345 Harris Way, San Jose, CA 95131.
Fee: $99
Email address
Student Name:
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Grade:
Emergency Contact (Parent/Guardian):
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Address:
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Phone Number
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Payment Method:
Registration is incomplete without payment. If you need financial aid, please contact instructor directly.
Additional Info:
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Required
Print Guardian Name & Date:
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A copy of your responses will be emailed to the address you provided.
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