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Clever Play Club Registration (Juniors)
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* Indicates required question
DATE OF REGISTRATION
*
MM
/
DD
/
YYYY
CHILD'S NAME
*
Your answer
AGE
*
3
4
5
6
PROGRAM
*
Robotics Club - Saturday 10:30 am - 12:30pm
Engineering Club - Saturday 4:00pm - 5:30 pm
Robotics Club - Sunday 4:00 pm - 5:30pm
Science Club - Monday 4:00 pm - 5:30pm
Robotics Club - Tuesday 4:00 pm - 5:30pm
Science Club - Wednesday 4:00 pm - 5:30pm
Engineering Club - Thursday 4:00pm - 5:30 pm
Required
MONTHLY ENROLMENT
1 program/ month
2 programs/ month
PARENT'S NAME
*
Your answer
MOBILE NUMBER/S
*
Your answer
EMAIL ADDRESS
Your answer
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