Spring STEM CAMP Sep/Oct 2021

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Total students to enroll
Student 1*
First Last
Birthday*
DD slash MM slash YYYY
Student 2*
First Last
Birthday*
DD slash MM slash YYYY
Student 3*
First Last
Birthday*
DD slash MM slash YYYY
Address*
Parents' Name*
Parent's Mobile No.*
Parent's Email*
Medical Conditions / Emergency Contact Details
Spring STEM CAMP Sep/Oct 2021
Amount to pay
Price: $ 0.00
FEE
$ 0.00
Coupon
Payment Mode*
- Credit Card
- Direct Debit
Credit Card

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Engineering For Kids Cockburn

cockburn@engineeringforkids.net

0420 720 181