Spring Break Finance Explorers - Participant Information Form
Fill out the form carefully for registration. All your information is strictly confidential and will only be used for administrative purposes.
Student Details
Student's Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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1929
1928
1927
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1925
1924
1923
1922
1921
1920
Year
Address
*
Street Address
Street Address Line 2
City
Postal Code
Postal / Zip Code
Student's Email
*
example@example.com
Cell Number
School
Grade
Parent Details
Parent's Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Cell Number
*
Please enter a valid phone number.
Parent's Name
First Name
Last Name
Parent's Email
example@example.com
Parent Cell Number
Please enter a valid phone number.
Pick-up. Please list the name(s) of who will be picking up your child at 12 pm at the end of class. Or, please indicate if they will be going home on their own.
Please let us know who referred you:
*
.
Emergency Contact
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Medical and Health Information
If your child has medical conditions or learning conditions that we should be aware of, please indicate below:
Terms & Conditions
Thank you for investing in your child's future with EVOS Education!
Registration will be confirmed via email upon receipt of payment.
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