Online Registration Programs

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”Banner” _builder_version=”4.0.2″ background_enable_image=”off” max_width_last_edited=”off|desktop” max_height=”400px” collapsed=”off”][et_pb_fullwidth_header title=”Registration Form” text_orientation=”center” _builder_version=”4.9.10″ title_level=”h2″ title_font_size=”50px” subhead_font_size=”24px” background_image=”http://stemshala.com/wp-content/uploads/2021/01/img1-60.jpg” title_font_size_tablet=”” title_font_size_phone=”30px” title_font_size_last_edited=”on|phone” title_text_shadow_style=”preset1″][/et_pb_fullwidth_header][/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Stemshala” _builder_version=”4.0.2″ background_enable_image=”off” parallax=”on” custom_margin=”||||false|false” custom_padding=”50px||25px||false|false” collapsed=”off”][et_pb_row module_class=”icon_sectionx” _builder_version=”4.0.2″ background_enable_color=”off” width=”89%” width_last_edited=”off|desktop” custom_margin=”||||false|false” custom_padding=”||70px||false|false” locked=”off”][et_pb_column type=”4_4″ _builder_version=”4.0.2″ custom_padding=”10px|10px|10px|10px|false|false” border_color_all=”#e5e5e5″ border_style_all=”none” border_width_all__hover_enabled=”on|desktop” border_color_all__hover_enabled=”on|hover” border_color_all__hover=”#e3a132″][et_pb_text module_class=”stem_head_black” _builder_version=”4.9.10″ text_font=”|800|||||||” header_font=”Verdana||||||||” header_text_align=”left” header_text_color=”#ff0000″ header_font_size=”50px” header_line_height=”0.9em” header_2_text_align=”center” header_2_text_color=”#ff0000″ text_orientation=”center” header_font_size_tablet=”” header_font_size_phone=”40px” header_font_size_last_edited=”on|phone” header_text_shadow_style=”preset1″ header_2_text_shadow_style=”preset1″ header_letter_spacing__hover_enabled=”off|desktop”]Thank you for your interest in our After School Enrichment, please fill in the details below so that our team can process your registration.[/et_pb_text][et_pb_text _builder_version=”4.0.2″ hover_enabled=”0″ sticky_enabled=”0″]

    Student Details*




    MaleFemalePrefer Not To SayOther

    Nature of Registration*

    ConfirmedTentative (Provide comments below)

    Parent Details*



    FatherMotherGuardianOther




    Select Program*

    PREFERRED COURSES

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    SATSUN

    MONTUEWEDTHUSFRI

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    SATSUN

    MONTUEWEDTHUSFRI

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    SATSUN

    MONTUEWEDTHUSFRI





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