Form

Please select the event you wish to attend.*

Please join us for one of our virtual or in-person Experience Emma Events.
Each event covers the same content, there is no need to register for more than one.

Please complete this required field.

Student First Name*

Student Last Name*

Student Email*

Date of Birth*

Year/Month/Day

Entering Year*

Entering Grade*

Residential Status*

I require a F-1 Visa to study in the United States.*

Parent First Name*

Parent Last Name*

Parent Email*

Country*

Street address*

Street address 2

Street address 3

City/Province*

Postal Code*

COMPLETE IF YOU ARE ATTENDING ONE OF OUR IN-PERSON EVENTS:

Please list the First and Last Names of the adult(s) attending Experience Emma. Each candidate can bring up to two adults to our in-person events. Please list your name as you would like it to appear on your nametag.

Name of Attendee 1

Name of Attendee 2