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Summer Program Enrollment Form
Learn new skills and broaden your horizons this summer!
12
Questions
Let's get STARTed
1
UTM_Source
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2
UTM_Medium
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3
UTM_Campaign
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4
UTM_Content
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5
UTM_Term
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6
First things first, what's your
student's name
?
*
This field is required.
First Name
Last Name
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7
Please select
the class
you would like to register {studentName:first} for!
Computer Science (Half-Day): 7/14 to 7/18 from 8am-12pm - $599
Game Development (Half-Day): 7/14 to 7/18 from 1pm-5pm - $599
Both Classes (Full-Day, includes lunch): 7/14 to 7/18 from 8am-5pm - $999
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8
Now, what
school
does {studentName:first} attend?
*
This field is required.
Click the box below, then start typing to search.
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9
And what
grade
is {studentName:first} going into?
*
This field is required.
Please provide their grade level as of the
2024/2025
school year.
Please Select
9
10
11
12
Other
Please Select
Please Select
9
10
11
12
Other
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10
Please describe any
dietary restrictions
{studentName:first} has.
We will provide a lunch each day and will strive to make sure that we accommodate all dietary restrictions and allergies. If you would prefer your student to bring their own lunch, please include that information here. Put "None" if there are no restrictions
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11
Please describe any
medical conditions
that {studentName:first} has that we should know about.
*
This field is required.
Please put "None" if this question isn't relevant for your student.
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12
Great, and what's the
name
of {studentName:first}'s parent who will be on the account?
*
This field is required.
This should also be whoever is going to be the billing contact for the course
First Name
Last Name
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13
Thank you! Now, what's a good
email address
for {full_name:first}?
*
This field is required.
We will send you an email once you complete this form, and may send follow up emails to get you setup or to let you know about further service offerings and promotions!
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14
And what's {full_name:first}'s
cell phone number
?
*
This field is required.
Please enter a valid phone number.
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15
Great, now is there
anything else
you would like us to know?
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16
How did you
hear about
our program?
*
This field is required.
Please Select
Another parent or student of Frontier Tutoring
I've used Frontier Tutoring services before
School counselor
School newsletter
School event
Homeschool program
North Star Tutors
Web search
Online ad
Webinar
Other event
Other
Please Select
Please Select
Another parent or student of Frontier Tutoring
I've used Frontier Tutoring services before
School counselor
School newsletter
School event
Homeschool program
North Star Tutors
Web search
Online ad
Webinar
Other event
Other
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17
What is the
full name of the person
who referred you to us?
First Name
Last Name
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18
Please describe
the other way
that you heard about our electives!
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19
As you probably expect, we need you to read and agree to our
terms and conditions
to receive services.
*
This field is required.
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20
You've made it! Now let's just make sure you are a person and we're good to go
*
This field is required.
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21
Event ID (selection)
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22
Almost done (we promise)! Do you have a
discount code or voucher
you would like to use?
If you got here by clicking a link on a discount offer, make sure to click "Yes" here!
YES
NO
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23
Perfect!! Please provide your discount code below, and we'll add it to your account.
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24
Unique Submission ID
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25
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26
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27
Referrer
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28
Get Page URL
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