STQI Administration System
9:09 PM
Class Registration
Are you already a student?
Which Term Are You Signing Up For?
Student's Full Name
First:     Last:
Parent or Guardian's Full Name (If Applicant Is Under 18 Years)
What Name Would You Like Membership Tax Receipts Issued To?
[Leave Blank if Same as Student's Name]
Primary Occupation of Student or Guardian
Student's Birthdate (YYYY-MM-DD | e.g. 2002-02-22)
Student's Phone #
Student's E-mail Address
Student's Address
Street:     City:     Postal Code:
Emergency Contact #1
Name:     Phone #:     Relationship:
Emergency Contact #2:
Name:     Phone #:     Relationship:
Physical Injuries, Allergies, Impairments, Disabilities
Are you a university or college student this term?
Yes and I will show my Student ID as proof
Would You Like to Volunteer and Contribute to the School?
Yes     Specific Skills:
Comments & Feedback