Youth Robotics

Youth Robotics Program

Admissions Registration Form
STUDENT'S INFORMATION
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
MM-DD-YYYY
Gender*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What school he/she attends*
What grade*
At what Community Centre will you attend the Robotics Program?*

KingsdaleChandler Mowat
PARENT'S INFORMATION
Name of Parent or Guardian*

First NameMiddle NameLast Name
Parent/Legal Guardian's name

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relation to participant
Any Comments
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Youth Robotics Program