HOLIDAY SEASON SESSION of Cougar Coding Club at PCY Registration

HOLIDAY SEASON SESSION of the Cougar Coding Club at PCY Registration

Cougar Coding Club at PCY, led by Mrs. Babish. After-school coding club for 1st–6th graders. **HOLIDAY SEASON SESSION ONLY** After school (2:50pm) until 4pm. Spots are limited! 4th–6th graders meet Wednesdays for a 3-week Java games & apps class. 2nd & 3rd grades meet Thursdays and 1st grade meets Tuesdays for intro to block coding. Snacks, Fun, Holiday Games and Coding take place during each session for all students! All classes are $99 for this special 3-week Session!
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
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #2 Name

First NameMiddle NameLast Name
Parent/Guardian #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Email
example@example.com
Emergency Contacts
Emergency Contact Name #1
Emergency Contact Phone #1
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name #2
Emergency Contact Phone #2
Please enter a valid phone number.Format: (000) 000-0000.
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
The Holiday Season Session of Cougar Coding Club is a 3-week session. Fee: $99 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.
Should be Empty:

HOLIDAY SEASON SESSION of the Cougar Coding Club at PCY Registration

Student Information

Parent / Guardian Information

Emergency Contacts

Medical / Pickup / Permissions

Payment Information