Codeit Learning Registration Form

1
Unique ID
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First Name* This field is required.(Parent)
3
Last Name* This field is required.(Parent)
4
Address* This field is required.
Street Address
Street Address Line 2
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5
Phone Number* This field is required.(Parents)
6
E-mail* This field is required.(Parent)
example@example.com
7
Student First Name* This field is required.
8
Student Last Name* This field is required.
9
Date of Birth* This field is required.(Student)
Date
Day
Month
Year
10
Student Email* This field is required.
example@example.com
11
Terms & conditions* This field is required.
12
Picture/Footage consentif you agree please, Press Next
13
Which StudyRight Centre would you like to attend?
Walthamstow (Wood Street)
Tottenham
14
Courses* This field is required.Please check the description to book for the correct centre
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Total costGBP
Pro Coder Level 1
Walthamstow (Wood Street) and Tottenham, for ages 12-15, 3 term course, £450 per term
£450.00Edit
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Scriptkids
Tottenham, for ages 8-11, 3 term course £400 per term
£400.00Edit
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Gadgeteers
Walthamstow - Wood street, for ages 8-11, 3 term course, £400 per term
£400.00Edit
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