Student Registration Form - Florence Nightingale Day on May 5, 2025 York University

Note:

- Please use this form to express your interest in attending Florence Nightingale Day on May 5 at York University's Markham campus.
- Note that attendance for this event is capped at 30.
- Once you submit your form, we will email additional information to you along with a waiver for your parent/guardian to sign prior to the event.

Question Title

1. First Name (This name will appear on your badge) (Required.)

Question Title

2. Last Name (Required.)

Question Title

3. Email Address (Required.)

Question Title

4. School you attend (Required.)

Question Title

5. Grade (Required.)

Grade 9

Grade 10

Grade 11

Grade 12

Other (please specify)

Question Title

6. Do you have any food restrictions?

Vegetarian

Vegan

Other (please specify)

Question Title

7. What is your reason for signing up? What do you hope to take from the day?

Question Title

8. Do you need help with transportation to the Markham campus?

Yes

Student Registration Form - Florence Nightingale Day on May 5, 2025 York University

Question Title

* 1. First Name (This name will appear on your badge) (Required.)

Question Title

* 2. Last Name (Required.)

Question Title

* 3. Email Address (Required.)

Question Title

* 4. School you attend (Required.)

Question Title

* 5. Grade (Required.)

Question Title

* 6. Do you have any food restrictions?

Question Title

* 7. What is your reason for signing up? What do you hope to take from the day?

Question Title

* 8. Do you need help with transportation to the Markham campus?

1. First Name (This name will appear on your badge) (Required.)

2. Last Name (Required.)

3. Email Address (Required.)

4. School you attend (Required.)

5. Grade (Required.)

6. Do you have any food restrictions?

7. What is your reason for signing up? What do you hope to take from the day?

8. Do you need help with transportation to the Markham campus?