Cougar Coding Club at PCY Registration

Cougar Coding Club at PCY Registration

Cougar Coding Club at PCY, led by Mrs. Babish. After-school coding club for 1st–6th graders. 1st session: August 24th – November 6th. After school until 4pm. Spots are limited! 4th–6th graders meet Wednesdays for a 10-week Java games & apps class. 2nd & 3rd grades meet Thursdays and 1st grade meets Tuesdays for intro to block coding. All classes are $325 for the 10-week Sessions *NO CLASSES during Conference Week (October 19th-23rd)
Student Information
Student Name
Grade Level
Grade Group / Session Day
Parent / Guardian Information
Parent/Guardian #1 Name

First NameMiddle NameLast Name
Parent/Guardian #1 Phone Number
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Parent/Guardian #1 Email
example@example.com
Parent/Guardian #2 Name

First NameMiddle NameLast Name
Parent/Guardian #2 Phone Number
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Parent/Guardian #2 Email
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Emergency Contacts
Emergency Contact Name #1
Emergency Contact Phone #1
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Emergency Contact Name #2
Emergency Contact Phone #2
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Medical / Pickup / Permissions
Authorized Pick-Up Persons
Student Allergies / Medical Conditions / Special Needs
Acknowledgment of After-School End Time
Consent and Liability Waiver Agreement
Payment Information
Cougar Coding Club is a 10-week session. Fee: $325 total per student.
Preferred Payment Method
Confirmation
After submitting this form, please send payment within 24 hours to secure your spot: Zelle: 323-383-2713 Kristine Babish, Venmo: @Kristine-Babish, PayPal: @KBabish. Include your child’s full name in the payment note.
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Cougar Coding Club at PCY Registration

Student Information

Parent / Guardian Information

Emergency Contacts

Medical / Pickup / Permissions

Payment Information