SSWCF Grad 2010 Registration Form

LOCATION Holiday Inn Hotel & Suites Toronto-Markham
7095 Woodbine Avenue, Markham, ON, L3R1A3
DATE & TIME August 14th @ 12:30 PM
DEADLINE All registrations must be in by JULY 11th

PERSONAL INFO First Name:*
Last Name:*
Age:*
Email Address
Phone*
 -  -
EDUCATION
Will you be attending school this September? *   Yes   No
SPECIAL PROJECTS
Would you like to bring in a project to put on display?*   Yes   No
ACCOMPLISHMENTS
What did you accomplish this year? Did you receive any awards or achieve any goals? Let us know about it.
(max 200 words or 1000 characters and spaces, whichever comes first)

You have words or characters left.
TRANSPORTATION
Will you require transportation to the graduation ceremony? *  Yes  No
SECURE Enter the letters/numbers exactly as shown in the field below.