We are looking forward to hosting you at WCM Job Shadow Day Montreal, happening on October 25, 2022. Please complete the below registration form by September 29, 2022. Once registered WCM will reach out to confirm your space and send COVID-19 policies and Waivers to be filled out. Please note: space will not be secured until each student submits COVID-19 form and waiver.

Question Title

* 1. Student First Name 
Prénom de l'étudiant

Question Title

* 2. Student Last Name
Nom de l'étudiant

Question Title

* 3. Student Email Address
Adresse électronique de l'étudiant

Question Title

* 4. Teacher's Email Address
Adresse e-mail de l'enseignant

Question Title

* 5. Teacher's First & Last Name
Nom et prénom de l'enseignant

Question Title

* 6. Grade
Classe

Question Title

* 7. School Name
Nom de l'école

Question Title

* 8. Emergency Contact
Personne à contacter en cas d'urgence

Question Title

* 9. If you have any dietary restrictions which you'd like us to accommodate, please select any that apply:
Si vous souhaitez que des restrictions alimentaires soient apportées, veuillez sélectionner celles qui s'appliquent:

Question Title

* 10. Do you have any severe allergies which we should be aware?
Avez-vous des allergies graves dont nous devrions être au courant?

Question Title

* 11. Please Select the language the student is Fluent in?
Veuillez sélectionner la langue que l'étudiant maîtrise ?

T