Design Camp
Registration Form
Student's Name
Birth Date
Date
1
2
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9
10
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Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Gender
Select
Male
Female
Current Address
Phone Number
E-mail
Parents/Guardian
Emergency Contact
Camps for which you are applying
Select
March Break Camps
Summer Camps
P.A. Day Camps
Number of programs
1
2
3
4
Program 1
Select
Dates Available
Select
Program 2
Select
Dates Available
Select
Program 3
Select
Dates Available
Select
Program 4
Select
Dates Available
Select
Extended Hours
None
08:00
AM - 09:00 AM
04:00
PM - 05:00 PM
04:00
PM - 06:00 PM
8 to 9:00 AM & 4 to 5:00 PM
8 to 9:00 AM & 4 to 6:00 PM
Background
Are you a
returning student?
Yes
No
Name of
your school
What
grade are you in?
Age
Food Allergies
Name of a
teacher who might like to hear about your work effort here:
Do you
have prior experience with Design and Technology Camp?
Yes
No
If so,
which camp and when attended?
Does your
child have any special learning needs?
Yes
No
If yes, please describe so we can help you
meet your needs.
How did you hear
about Thinnox?
Internet
Newspaper
Magazine
Referral
School
Please specify the source
The Thinnox Academy may take in class and
performance video and photography of my child for Thinnox Design Expo, website, catalogue, and
brochure:
Yes
No
Design Expo Confirmation: Design expo provides a platform for young
designers, innovators and inventors to show their work to the creative community in Mississauga, comprising
of peers, friends and teachers. All completed projects from Thinnox school and camps automatically qualify
for the Thinnox Design Expo.
I confirm that I will attend the Design Expo to be held in 2017.
I may not
attend the Design Expo.
We accept MasterCard, Debit, Interac, Visa & Cheque.
Choose one of the following options:
Within 24 hours I will call to provide my payment information and ensure booking (905 608 8446).
Within 24 hours Thinnox counsellor would call to get the payment information and ensure booking.
Choose one of the following Locations:
Glen Erin Dr / Dundas St W Campus
Lakeshore Rd E / Cawthra Rd Campus
By clicking Submit I hereby certify that the
information I have provided is accurate and complete. I also certify that I understand Thinnox's payment
options, cancellation & camp rules
(YOU MUST BE 18 YRS OR OLDER, OR A
PARENT/GUARDIAN TO SUBMIT THIS FORM.)
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