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Temecula STEAM Center

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Temecula STEAM Center

Home
After-School
Camps
STEAM Club
Kids Night Out
Tutoring
Book a Tour
Contact Us

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Kids That Code Inc

Prepare your child for the careers of the future!

Learn more about our parent company

Contact Us

32127 Temecula Pkwy SUITE F, Temecula, CA 92592
(951) 530-3396
tsc.tem@techsteamcenter.com
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Temecula STEAM Club

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Student Application

# of Children

1 child 2 children 3 children None

First Name *

Last Name *

Phone *

Birthday *

Gender *

Second Child

First Name *

Last Name *

Phone *

Birthday *

Gender *

Third Child

First Name *

Last Name *

Phone *

Birthday *

Gender *

Parent or Guardians Information

First Name *

Last Name *

Email Address *

Address *

City *

Desired Start Date *

Phone 1*

Phone 2 (optional)

Emergency Contacts

First Name *

Last Name *

Email Address *

Phone *

How did you hear about us? *

Relationship to the student *

Medical Information

Does this student have? Allergy *

Yes No None

Special Needs

Yes No None

Dietary Restrictions

Yes No None

Physical Restrictions

Yes No None

Notes

Time's up

The Tech Steam Center Mailing List Shape Right.png

After-School Program in Temecula

Get exclusive offers and the latest information sent directly to you

Student Application

# of Children

1 child 2 children 3 children None

First Name *

Last Name *

Phone *

Birthday *

Gender *

Second Child

First Name *

Last Name *

Phone *

Birthday *

Gender *

Third Child

First Name *

Last Name *

Phone *

Birthday *

Gender *

Parent or Guardians Information

First Name *

Last Name *

Email Address *

Address *

City *

Desired Start Date *

Phone 1*

Phone 2 (optional)

Emergency Contacts

First Name *

Last Name *

Email Address *

Phone *

How did you hear about us? *

Relationship to the student *

Medical Information

Does this student have? Allergy *

Yes No None

Special Needs

Yes No None

Dietary Restrictions

Yes No None

Physical Restrictions

Yes No None

Notes

Time's up

The Tech Steam Center Mailing List Shape Right.png