Virtual Summer Camp Project Registration Form

Virtual Summer Camp Project Registration Form
Project Title: Improve your skills and personalities workshop

Project Overview: The following program contains topics or short courses that will improve the skills and develop the personalities of the participants.
Project Start Date: April 20, 2021

Project End Date: May 5, 2021
Name
First NameLast Name
Gender
Age
Date of Birth
MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Grade Level
School Name
Kindly upload your picture here
Cancelof
Parent/Guardian Name
First NameLast Name
Relationship
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
T-Shirt Size
Youth X-SmallYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large
What is your reason for joining the virtual summer project?
LearnSocializeParticipateShareOther
What do you expect to learn from this summer project?
Do you have the following tools and equipment needed in this virtual summer project?
Yes No Remarks
Desktop PC 1 2
Laptop 3 4
Tablet 5 6
Mobile Phone 7 8
Headset 9 10
Webcam 11 12
Microphone 13 14
Internet Connection 15 16
Zoom 17 18
Google Account 19 20
Select a program/project
prevnext( X )
WritingWriting workshop
$10.00

PaintingPainting workshop
$10.00

Music LessonMusic Lesson workshop
$10.00

ProgrammingProgramming workshop
$10.00

Public SpeakingPublic Speaking workshop
$10.00

Total
$0.00
Payment Method
CashCredit CardCheckInvoiceBank Transfer
Any comments or suggestions?
Do you have any special instructions?
How did you learn about us?
Would you like to receive email notifications from us?
YesNo
Should be Empty:

	Yes	No
Desktop PC	1	2
Laptop	3	4
Tablet	5	6
Mobile Phone	7	8
Headset	9	10
Webcam	11	12
Microphone	13	14
Internet Connection	15	16
Zoom	17	18
Google Account	19	20