Thank you for joining MiniMakers! Please complete this new makers registration form. New Makers Registration FormPlease enable JavaScript in your browser to complete this form.Information About YouPrimary Parent/Legal Guardian *FirstLastPhone *Email *What Program are you registering for? *MakersClub AfterschoolEarly Evening MakersClubHomeschool WorkshopsMinimakers at Jules QuesnelMinimakers at KerrisdaleProD Day - South VancouverProD Day - South SurreyWinter Camp South VancouverWinter Camp South SurreySpring Camp South VancouverSpring Camp South SurreySummer Camp South VancouverSummer Camp South SurreyOcean Explorers at the Vancouver AquariumNature Explorers at the GV ZooTutoring Math or BiologyAdvanced Math or BiologySpace Explorers at the H.R. MacMillan Space CampFlight Explorers at the Museum of FlightThe Art and Culture Camp at the MOVBLANKChoose your program from the drop downWhat location are you registering for? *choose studioSouth SurreySouth VancouverH.R. MacMillan Space CentreGV ZooMuseum of FlightVancouver AquariumMuseum of VancouverEcole Jules QuesnelKerrisdaleWhat dates are you registering for? *October 20th, 2023October 24th, 2023November 10th, 2023November 14th, 2023November 20th, 2023November 24th, 2023Dec 4th, 2023Jan 17th, 2024Jan 22, 2024Jan 24th, 2024Jan 26th, 2024Feb 16th, 2024Feb 20th, 2024Feb 23rd, 2024Mar 15th, 2024Apr 4th, 2024Apr 10th, 2024Apr 15th, 2024Apr 19th, 2024Apr 22th, 2024Apr 26th, 2024Apr 29th, 2024May 3rd, 2024May 17th, 2024May 21st, 2024May 27th, 2024June 7th, 20242023 Winter Camp Jan 2 - 5 2024What Cohort are you registering for? *Cohort 1: Sep 18, 25, Oct 16, 23Cohort 2: Oct 30, Nov 6, 20, 27Cohort 3: Dec 4, 11, 18What dates are you registering for? *Jan 2nd, 3rd, 4th, 5th 2023 Please choose another Camp *The Flight Camp is not operating at this time. Join our mailing list for updates. Join our email list Check out our other great camps. Please choose another Camp *The Space Camp is not operating at this time. Join our mailing list for updates. Join our email list Check out our other great camps. Please choose another Camp *The Art & Culture Camp is not operating at this time. Join our mailing list for updates. Join our email list Check out our other great camps. Thank you for your pre order. You are assured a spot. 2025 Spring, Summer and Winter Camp dates will be announced soon. Join our mailing list for updates. Join our email list Your Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountrySecondary/Emergency ContactSecondary ContactFirstLast Phone Relationship to Maker *Parent / Legal GuardianFamilyFamily FriendOther / Prefer not to sayInformation About Your Little MakerMakers Name *FirstLastMakers Grade *KindieGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8High SchoolerMakers Date of Birth *Our curriculum developers have designed lessons for kids 5-12. Is there anything you would like us to know that will help ensure a great experience?Note any allergies or related conditions Which subjects does your little maker enjoy the most? *Biology & AnimalsChemistryPhysicsSpace ScienceRoboticsCodingArt3D-PrintingMathAdvanced SciencesMaker's Goals *Please describe both yours and your little makers goals for the MiniMakers program. Our Curriculum Developers can work with you to define your goals. How did you hear about us? *Referral from employeeReferral from past or current clientSocial mediaOnline searchFacebook or Instagram AdvertisementEvent or ActivationRadio AdvertisementPlease specify (if referred, please provide the name of the referral as we wish to thank them)PhotographsMinimakers occasionally uses photos taken during camps, events and classes for promotional purposes. If you prefer to not have images of your child's likeness used in occasional marketing including social media please select, NO.Please select below *NoYes. I grant permission for Minimakers to use images taken during Minimakers camps, classes, events for occasional marketing materials including social mediaRELEASE OF LIABILITY WAIVERTerms & Conditions - By checking each box, I agree to the terms and conditions *I agree to keep my child home if they have any signs of illness (including a fever, running nose, sore throat, coughing, lethargic or any other symptoms).I agree that my child must wear personal protection equipment (eye protection, hearing protection and dust masks) at all times when any tool is being used or demonstrated.I agree to allow my child to use age appropriate tools and MiniMakers tools.I agree to have my child withdrawn from the program if they are presenting a safety risk to other participants.I agree to allow my child to participate in science demonstrations.Additional Terms and Conditions *By checking this box I agree with the additional terms and Conditions belowIn consideration for allowing myself or child to participate in programs and other activities at or sponsored by MINIMAKERS INC. and further in consideration of MINIMAKERS INC. allowing me and/or my child to enter and use the facilities owned, leased or otherwise provided by MINIMAKERS INC. (the “Facilities”) undersigned, for myself and for my child and his/her parents, heirs, assigns, personal and legal representatives and estate, fully and completely releases, discharges and holds harmless MINIMAKERS INC., and its directors, trustees, officers, employees, agents, insurers, instructors, coaches, caregivers, counsellors and volunteers (collectively “its agents and employees”) from any and all claims, actions, causes of action, and damages of any kind whatsoever, including but not limited to claims for personal injury or property damage, arising out of myself and/or my child’s participation in any program or activity at MINIMAKERS INC. or the Facilities. The undersigned acknowledges and recognizes there are inherent risks involved in certain activities or makers activities (e.g. woodworking, arts, crafts, building, science demonstrations, etc.) at MINIMAKERS INC. and the Facilities and the undersigned and myself or my child assumes the risk of any injury sustained while at MINIMAKERS INC. or at the Facilities. The undersigned agrees to indemnify, defend and hold harmless MINIMAKERS INC. and its agents and employees from any and all claims arising out of my child’s participation in any program or activity at MINIMAKERS INC. or the Facilities, even if such claim arises as a result of an inadvertent negligent act or omission of MINIMAKERS INC. or its agents and employees.SignatureClear SignatureSubmit