STRIDE K-12 Enrichment Program Registration Form

 
Student's Name*
Last Name
First Name

Birth Date*
Gender*
Address*
Street #/Apartment#
City
Province
Postal code
Country
Phone Number
Home* (format: xxx-xxx-xxxx)
Business
Parent's Name*
Last Name
First Name

E-mail*

Emergency Contact*
Last Name
First Name
Phone Number

Programs*
Animation
Game Design
Media Arts  
Programming
Fashion Design  
 
App Development
 
360
 
 
 
 

Background:

Are you a returning student?
Yes No
  Name of School
  What grade are you in?
  Do you have prior experience with Design & Technology program?
Yes
If so, which program and when attended?
How did you hear about Thinnox?
Please specify the 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* 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.


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.

  
Does your child have any special learning needs?
  If yes, please describe so we can help you meet your needs.
(YOU MUST BE 18 YRS OR OLDER, OR A PARENT/GUARDIAN TO SUBMIT THIS FORM.)

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