INNOVATION Design Camp Registration Form

*Student's Name

*Date of Birth

*Gender

Male

Female

*Address

*City

*Province

*Postal Code

*Country

*Phone Number Alternate Number

*Email Alternate Email

*Parent/Guardian

*Emergency Contact

Select your Camp(s):

Type of Camp:

Number of Camps:

Extended Hours:

Background

Are you a returning student?

Yes

*School

*Grade

*Age

*Food Allergy * Please remember to fill out the Allergy Health History Form that will appear after you hit the submit button.

Name of a teacher who might like to hear about your work effort here:

Do you have prior experience with Design & Technology camps?

Yes

If so, which camp and when attended?

How did you hear about Thinnox? Other Source:

Do you allow Thinnox Design Academy to take in class and performance video and photography of your child for Thinnox Design Expo, website, catalogue and brochure?

Yes

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 2020.

I may not attend the Design Expo.

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.

Does your child have any special learning needs?

Yes

If yes, please describe so we can help you meet your needs.

*Location

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.)

If you are registering more than one student please submit the first registration & wait for another form.