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About You

Title:

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Ms.

First Name: *

Last Name: *

Where do you live?

Street Address: *

City: *

Province/State:

Postal Code/Zip: *

Country: *

Corps Name: *

When were you born?

Birthdate: *

Contact Info

Your cellphone number:

Your ten digit phone number

Can we text you?:

Yes

Home telephone number: *

Your ten digit home phone number

Email: *

Health card number: *

Lodging Info

Who would you like to room with?:

Describe any food allergies:

About Booth

Your expected year of highschool graduation: *

Entrance standards: *

I meet Booth's entrance standards

Read Booth College's Entrance Standards here

Fine print: *

I have read the fine print

You can read the fine print here

If you are under 18

Parent's first name:

Parent's last name:

Street address:

City:

Province/State:

Country:

Postal Code/Zip:

Home telephone number:

Your parent's 10 digit home number

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