Welcome to DawaNet's new E-learning Form

Kids Science Fair & Mad Science Show

Questions?

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eschool@dawanet.ca

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1 (289) 232 1545

Registration Open to Everyone [Note: You do not have to be DawaNet Kids E-School Student to Register for this Event]

REGISTRATION FORM

Please complete this registration form and make payment.

Parent/Guardian Information

Parent's Full Name *

First

Last

Email *

Primary Contact (i.e. Number) *

Secondary Contact (i.e. Name & Number) *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Family Pass - Attend Mad Science Show [1 Family Pass @ 10$/Family]

Yes, I confirm that I want to enroll for the Mad Science Show - Family Pass (@ CAD $10/family)

Note, you must check this box to register this child

Kids' Science Fair Registration [Ages 7-13]

First Child Info

First Child's Full Name

First

Last

Age

Gender

Confirm that you want to enroll First Child

Yes, I Confirm that I want this child to Present at the Science Fair (@CAD $10/Child)

Note, you must check this box to register this child

Second Child's Info

Second Child's Full Name

First

Last

Age

Gender

Confirm that you want to enroll Second Child?

Yes, I Confirm that I want this child to Present at the Science Fair (@CAD $10/Child)

Note, you must check this box to register this child

Third Child's Info

Third Child's Full Name

First

Last

Age

Gender

Confirm that you want to enroll Third Child?

Yes, I Confirm that I want this child to Present at the Science Fair (@CAD $10/Child)

Note, you must check this box to register this child

Fourth Child's Info

Fourth Child's Full Name

First

Last

Age

Gender

Confirm that you want to enroll Fourth Child?

Yes, I Confirm that I want this child to Present at the Science Fair (@CAD $10/Child)

Note, you must check this box to register this child

Fifth Child's Info

Fifth Child's Full Name

First

Last

Age

Gender

Confirm that you want to enroll Fifth Child?

Yes, I Confirm that I want this child to Present at the Science Fair (@CAD $10/Child)

Note, you must check this box to register this child

Total Amount

$ 0.00

Number of Children * $10 per children per month.

Note: The Payment will be Charged on the Credit Card Provided below* For any questions, please contact the E-School Admin team at eschool@dawanet.ca or Call / WhatsApp / Text: +1 (289) 232-1545. Thank you.

Stripe Credit Card *

Card

Name on Card

Phone