SOC Summer Camp 2024 Application Form « Southern Ontario Collegiate

Surname(Required)

Given Names(Required)

Country(Required)

Mother Tongue(Required)

Gender(Required)

Male

Female

Date of Birth(Required)

Current Grade Attending(Required)

Current School(Required)

邮箱*(Required)

Phone Number

Address(Required)

街道地址地址2 (街道) 市州/省/地区邮编/邮政编码国家

Select the Summer Camp Program that you would like to attend.(Required)

Go 2-Week Program: July 1 – July 14

Go 3-Week Program: July 1 – July 21

Go 4-Week Program: July 1 – July 28

其他

Does the applicant have allergies or medication in use?(Required)

Contact Parent/Agency(Required)

Phone Number

Signature of Applicant(Required)

Your typed Name will be accepted as if Signed by Hand

Date(Required)

Signature of Parent/Guardian(Required)

Your typed Name will be accepted as if Signed by Hand

Date(Required)

Signature of Agent

Your typed Name will be accepted as if Signed by Hand

Date

邮箱*

这个字段是用于验证目的，应该保持不变。