Coding For Kids Application Form
Fill out the form carefully to apply
Parent / Sponsor
*
First Name
Last Name
E-mail
*
example@example.com
Mobile Number
*
Please enter a valid mobile number.
Learner Name
*
First Name
Last Name
Learner Date of Birth
*
-
Month
-
Day
Year
Date of Birth
Learner School Name
*
I want to enroll for:
*
Demo Lesson (30 minutes) R150
Ad-Hoc Lesson (60 minutes) R300
Monthly Subscription, 12 months: R799 / month (debit order)
3 month module, 10 lessons: R2500 pre-paid
Group booking: Onsite or online: Please quote me
Where did you hear about us?
*
Google Search
Jozikids
Facebook
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Personal Referral
Other
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