First Name
Last Name
Email
Confirm Email
I require child-minding services
(For ages 4 and up)
No
Yes
How many children are you bringing?
1
2
3
4
5
Does your child have food allergies?
No
Yes
Please specify
First Name
Last Name
Grade
8
9
10
11
12
School
Sir John A Macdonald Collegiate Institute
Pleasant View Junior High School
J B Tyrrell Senior Public School
Other
Which workshop would you be most
interested in attending?
Please choose one
Student Supports/Services
Grade 8 to 9 Transitions
Career Pathways
Math Matters
© 2011 Sivapriyan Sivakumaran, DFStermole
Revised 30 Nov 2011