Boswin Winter Program Registration
Program
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Junior Robotics II
Junior Robotics IV
March Break Primary Robotics Camp (6-9 yrs old)
March Break Junior Robotics Camp (10-14 yrs old)
March Break Minecraft Education Camp
March Break Half-day Primary Robotics Camp (6-9 yrs old)
March Break Half-day Junior Robotics Camp (10-14 yrs old)
March Break Minecraft Education Camp
March Break Extended Hours
March Break Extended Hours (morning only)
March Break Extended Hours (afternoon only)
Primary Robotics II
Primary Robotics IV
Robot in School Program (Oscar Peterson PS)
Vex IQ (Pre-season Training Program)
Student Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
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M
F
Home Address
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Street Address
Street Address Line 2
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State / Province
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School
Guardian 1 Information
Name
*
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Relationship to Student
*
Home Phone
Please enter a valid phone number.
Cell Phone
*
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Email
*
example@example.com
Guardian 2 Information
Name
First Name
Last Name
Relationship to Student
Home Phone
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Cell Phone
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Email
example@example.com
Primary Emergency Contact
Name
*
First Name
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Cell Phone
*
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Email
*
example@example.com
Secondary Emergency Contact
Name
*
First Name
Last Name
Home Phone
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Cell Phone
*
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Email
example@example.com
Does the student have any allergies that we need to be aware of? If yes, please specify.
Does the student have any other medical conditions that we need to be aware of? If yes, please specify.
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Junior Robotics II (Thursday)
$
200.00
CAD
Quantity
1
Junior Robotics II (Saturday)
$
200.00
CAD
Quantity
1
Junior Robotics IV (Tuesday)
$
476.00
CAD
Quantity
1
March Break Primary Robotics Camp (6-9 Years Old)
$
257.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Minecraft Education Camp
$
257.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Junior Robotics Camp (10-14 Years Old)
$
257.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Half-Day Primary Robotics Camp
for ages 6-9 years old (afternoons only)
$
205.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Half-Day Minecraft Education Camp
$
205.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Half-Day Junior Robotics Camp
for ages 10-14 years old (afternoons only)
$
205.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Extended Hours (Afternoons only)
$
51.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Extended Hours (Mornings only)
$
40.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
March Break Extended Hours
$
75.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Primary Robotics II (Wednesday)
Enter description
$
200.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Primary Robotics II (Saturday)
$
200.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Primary Robotics IV (Thursday)
$
200.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Primary Robotics IV (Saturday)
$
200.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Robot in School Program
Oscar Peterson PS
$
105.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Vex IQ (Pre-season Training Program)
$
299.00
CAD
Quantity
1
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