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2021 EQ Summer Camp Registration
Please fill out one form per student. Thank you!
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* Indicates required question
Student's Name
*
Your answer
Student's Gender
*
Female
Male
Student's Age
*
Choose
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Parent / Guardian's Name
*
Your answer
Parent / Guardian's Phone Number
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Your answer
Parent / Guardian's Email
*
Your answer
Home Address
*
Your answer
Camp(s)
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Kids Camp C (full). Please add my name to the waitlist.
Kids Camp D (Aug 9 - Aug 13) 12:30pm - 3:30pm
Teens Camp (full). Please add my name to the waitlist.
Required
Please indicate the payment method you plan on using
*
E-transfer to
wiseeq@gmail.com
Mail cheque to WISE EQ Center, #260 - 2010 East 48th Ave Vancouver, BC V5P 1R8
How did you hear about us?
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Your answer
Questions / comments
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