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AFTER SCHOOL LEADERS
STUDENT REGISTRATION FORM
Spring 2018


Student Information:

 

10 digits, no spaces
*Age:
Sex
*Manitoba Personal Health Information Number (PHIN) (9 digit):

 Do you fall within any of these categories?

Please indicate any allergies, dietary restrictions, medical needs or any accommodations required due to a disability:


Parent/Guardian Information:

 

10 digits, no spaces


Program Selection

 


*Please select your program of choice by typing '1' (for first choice) and '2' (for second choice):


Just TV - Music Making and Videography
The WRENCH - Youth Cycle Builders
Manitoba Theatre for Young PeopleDigital Film
Grafittii Art Programming Inc.Studio 393 Film Mentorship
Red River College Culinary Training
Red River College Biotech Lab Training
No second choice - Enter '2' here:

*Have you participated in ASL before?
If yes, please indicate which program/year.
*Why do you want to participate in this program?