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RocketHour Registration
Register now! Fill in this short form to get the ball rolling. No obligations, we'll take your lead.
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1
Track Registered
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2
To begin with, please give us your name:
*
This field is required.
Parent/Guardian's Name
Your First Name
Your Last Name
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3
Student's Name
*
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Student's First Name
Student's Last Name
Preferred Name (that s/he would like to be referred to during the course)
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4
Are you the student's...
Mom
Dad
Sister
Brother
Aunt
Uncle
Grandmother
Grandfather
Other
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5
Student's Date of Birth
*
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/
Date
Day
Month
Year
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6
Student's Gender
*
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female
male
Other
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7
Which city and country are you based in?
*
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E.g. Johannesburg, South Africa
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8
What grade is the student in?
*
This field is required.
Currently, our courses are only available for grade/year 3s - 9.
Grade/Year 3
Grade/Year 4
Grade/Year 5
Grade/Year 6
Grade/Year 7
Grade/Year 8
Grade/Year 9
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9
How old will the student be turning in 2022?
*
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Currently, our courses are only available for 9 to 15 year olds.
9
10
11
12
13
14
15
15 +
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10
Will the student be turning 9 years old in 2022?
YES
NO
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11
RocketHour participants need to be able to
cope well at the academic level of Grade/Year 3 - 9
. They also need to have good experience using a PC.
*
This field is required.
Great! That sounds like my child!
I'm not sure - can we chat about it?
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12
A fast, reliable internet connection will be essential. You will need a
download speed
of at least
8Mbps
and
upload speed
of at least
2Mbps
.
*
This field is required.
You can check internet connection by using
https://www.speedtest.net/
Yip! We have Fibre Internet at these speeds.
We don't have Fibre Internet but we do have these speeds.
No, but we will contact our ISP to upgrade.
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13
Your Contact Number
*
This field is required.
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14
Your email address:
*
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Email address of parent/guardian
elonmusk@gmail.com
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15
How did you find out about the RocketHour Programme?
*
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Social Media
Google Search
Through a friend or relative
TV or Radio
We attended a live Think Camp
Mailing List
Other
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16
Please give us the full name of the friend or relative who referred you.
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17
Almost done. Is there anything you would like to add?
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18
parent_firstname
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19
parent_lastname
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20
student_firstname
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21
student_lastname
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22
student_preferred_name
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23
will_student_be_turning_9_in_2021
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24
contact_number
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