First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Phone Number*
 
 
 
 
What Program and/or Department are you from?*
 
 
 
 
Sign-Up Location:*
 
 
 
 
I am 16 years of age or older:*
 
 
 
 
I agree to the contest rules and regulations:*
 
 
 
 
I agree to receive communication from Kwantlen Polytechnic University*