Private Class Request Form
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid CA/US phone number.
Format: (000) 000-0000.
Student Name
*
First Name
Last Name
Students Date of Birth DD/MM/YYYY
-
Day
-
Month
Year
Date
Students Grade
*
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Choose a location
*
Bloor West, 2451 Bloor st W, Toronto
Leaside, 1661 Bayview ave, Toronto
Mississauga South, 1900 Fowler Drive, Mississauga
Virtual - North America
Virtual - Outside of North America
Where are you located?
*
This information helps us determine time zone differences
Session Length
*
1 Hour per week
2 Hours per wek
Preferred Timings
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Topic
*
Please Select
Coding - Scratch
Coding - Python
Coding - HTML
Minecraft - Beginner/Intermediate
Minecraft Modding - Advanced (Java)
Robotics - Beginner/Intermediate
Other (Please specify below)
Tell us about your childs interests, experience level, and anything else you want us to know
Submit Request
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