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  • 2025 Family Intake Form

    Check your families eligibility for FREE and Discounted S.T.E.A.M Programming
  • Please read the following as our system has recently changed.

    All new and existing families must complete this one time intake form in order for us to assess your child/s eligibility for our free courses.

    Upon submission of your intake form you will receive an email with a link to register for our upcoming courses.

    When registering for courses you will only need to provide your child's name, grade and date of birth.

    It is important that all information provided in this form is accurate and up to date.

  • Child Information

    You may add up to 5 children to this intake form. You may submit an additional form if you have more than 5 children.
    • Child 1 
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    • Child 2 - Optional 
    •  - -
    • Child 3 - Optional 
    •  - -
    • Child 4 - Optional 
    •  - -
    • Child 5 - Optional 
    •  - -
  • Adult Information

    Parent or Adult learner
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  • Photos Consent and Communication Preference

  • Link to Photo Consent and Release Agreement

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