Open House STEAM

November ( 9:00 am - 4:00pm)

Child’s Full Name

First Name

Last Name

Age

Grade Level

Parent/Guardian Names

First Name

Last Name

Relationship to Child

Phone

Country

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Second Child's Information (if applicable)

First Name

Last Name

Second Child's Age

Second Child's Grade Level

Second Parent/Guardian Information (if applicable)

First Name

Last Name

Second Parent/Guardian Phone

(###)

###

####

Home Address (if different from the primary parent)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Academic Information

Current School/Previous School

Favorite Subjects

Extracurricular Activities

Hobbies and Interests

Participation in Sports or Clubs

Any Special Talents

Event-Specific Information

Preferred Activities During the Event

Any Questions or Concerns from Parents/Guardians

Open House STEAM

November ( 9:00 am - 4:00pm)

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