Code Camp Registration 2021-22

Code Camp Participant 2021-22
Code Camp: Monday, July 11th – Friday, July 15th, 2022 and Monday, August 15th – Friday, August 19th, 2021 | 10:00 AM – 3:00 PM

Interested in learning how to create a website? Want to learn one of the most influential and popular coding languages: Java? Our free, virtual five-day coding camp for all students grades 6-12, will teach you how to build real-life programs and passion projects whether you’re just learning to code, or an expert programmer. Learn from our experienced teachers and industry professionals who have a passion for technology just like you.

For more information, visit our website

All information will be kept confidential and is for Junior Achievement purposes only. JANJ conducts annual random audits of volunteers and program participants.

You will receive an email confirmation upon completion.
Contact Information
Student Name *

First Name Last Name
Student Email (gmail, yahoo etc.)
example@example.com
Student School Email *
example@example.com
Note: We ask for student's school email addresses to verify that participants are students. If the student does not have a school email address, type (n/a) above and we will reach out to you for another form of verification.
Name of Parent/Guardian *

First Name Last Name
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number *

Area Code Phone Number
Student Phone Number *

Area Code Phone Number
Gender: *
Ethnicity: *
Bilingual? Language: *
Did you participate in JA as a K-12 student? *

Yes No
School Information:
Name of School *
School Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What grade are you in? *
What are your career/degree interests? *
Please provide a copy of school ID, Transcript, or Schoolschedule *

Browse Files

Cancel of
Coding Interests
Coding Experience:

None Beginner Intermediate
Will you be attending Virtual or In-Person

Virtual (Zoom) In-Person (JA Education Center, Edison NJ)
Media Release & Consent
Please read the JA Media Release and Consent form below:
Digital Media Policy
Please read the Digital Media Policy below:
I have read Junior Achievement's Media Release & Digital Media Policy and understand and will abide by these standards. Please sign your name by placing the cursor in the box and holding down the left mouse button. *

Clear
Parent/Guardian Name *

First Name Last Name
Date: *

Month Day Year
Date
How did you hear about Code Camp? *

Past Participant School Social Media (Youtube, Facebook, etc.) Friends/Family
If you were referred by anyone, please enter the student or parent's name -
Should be Empty:

Code Camp Participant 2021-22

Contact Information

School Information:

Coding Interests

Media Release & Consent

Digital Media Policy