Course form- KIDSCHAMP

Registration Form

Fill out the form carefully for registration
Student Name

First NameLast Name
Birth Date

MonthDayYear
Email*
example@example.com
GRADE*
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ENTREPRENEURSHIP: MONDAY 5PM-6PMGRAPHIC DESIGN: TUESDAY 5PM-6PMVIDEO ANIMATION: TUESDAY 6PM-7PMLEADERSHIP: TUESDAY 5PM-6PMINTRO TO AI: TUESDAY 5:30PM- 6:30PMMENTAL HEALTH: WEDNESDAY 5PM-6PMCODING: WEDNESDAY 6PM-7PMSOCIAL MEDIA CONTENT: WEDNESDAY 5PM-6PMFINANCIAL LITERACY: THURSDAY 5:30PM-6:30PMSTEM: THURSDAY 6PM-7PMGAMING LEAGUE: SATURDAY 12PM-2PMTRIBE- MENTORING: SATURDAY 11AM-12PM
PROMO CODE- TYPE IN KIDCHAMP*
My Products
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THE CO-OP ACADEMY
ONLINE LEARNING PROGRAM- THIS IS A 3 MONTH PROGRAM. COST IS $100 PER MONTH

$300.00 Quantity



NEW ATHLETE PROJECT
ONLINE GAMING LEAGUE -THIS IS A 4 MONTH PROGRAM. COST IS $100 PER MONTH

$400.00 Quantity



THE TRIBE PROJECT
ONLINE MENTORING PROGRAM-THIS IS A 4 MONTH PROGRAM. COST IS $100 PER MONTH

$400.00 Quantity



Total

$0.00

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Registration Form