EmailMe Form - Pre-College Development Workshops Registration

Student Name *

First Last

Date of Birth *

For Insurance purposes

Grade in August 2026 *

School Name *

Student Email *

Student Phone/Cellphone *

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Father/Mother Name *

First Last

Father/Mother Email *

Father/Mother Phone/Cellphone *

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Work Phone/Cellphone (not required)

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Activity *

Engineering Pre-College Workshop - $795.00

Business Administration & Entrepreneurship Pre-College Workshop - $495.00

MathPoly Pre-College Workshop - $645.00

Payment Method *

Debit or Credit Card

Cash

Check

On-Line Payments: We will be receiving payments using Paypal. This will allow you to make the payment transaction using this payment method, or using your credit card through the Paypal processing platform.

For Cash you should visit our campus during normal operating hours.

How did you hear about our activity? *

Cancellation & Refund Policy