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: *
Your answer
Grade: *
Emergency Contact (Parent/Guardian): *
Your answer
Address: *
Your answer
Phone Number *
Your answer
Payment Method: *
Registration is incomplete without payment. If you need financial aid, please contact instructor directly.
Additional Info:
Your answer
Print Guardian Name & Date: *
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms