Wait List Form

Wait List Form

Fill out this form to receive an email when a spot opens for a program you are interested in. Emails will be sent on order of month waitlisted, you will have 24 hours to claim the spot
Program*
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender
Address

Unit

Street Address

CityState / Province

Postal / Zip CodeCountry
Parent Name*

First NameLast Name
Parent E-mail*
Phone Number

Area CodePhone Number
Where did you hear about this program?

NewsletterFacebookFriendPosterCommunity EventGoogleOther
Be the first to find out about courses, camps, events and more. Click below if you would like to subscribe to our newletter!

Yes
Additional Comments:
If you have any questions please email: childrenssciencesociety@gmail.com
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