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Student You Are Registering

You can register other students under the same account later.

First Name: (given name)
Last Name: (family name)
Birth Date: ,
Medical conditions
& allergies:
(Or any other info we
need to know)

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Contact Person (You)

First Name: (given name)
Last Name: (family name)
Relation to Student:

Mobile Phone:() -
Email address:

Address:
(of the student)

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Zip/Postal Code:

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