2024 Coding Mind Summer Camp Registration

DATE	May 28 - Aug 9 (No Camp May 27 & July 4)
TIME	Mon - Fri: 9 AM – 12 PM
LOCATION	Coding Mind, West Lafayette 500 Sagamore Pkwy, 6W, West Lafayette IN 47906
PROGRAM	Coding Mind Summer Camp JR. ( Age: 5 - 11) Coding Mind Summer Camp CRAFT (Age: 11+)
PRICING	Current Members: $150/week or $40/day Non-members: $200/week or $50/day

Parent's Full Name*

First NameLast Name

Child's Full Name*

First NameLast Name

Email*

Phone Number*

Camp Level (Age)*

Please Select Sessions (5-11)*

	Please Select
Week 1 (5/28 - 5/31) - MineCraft
Week 2 (6/03 - 6/07) - Scratch
Week 3 (6/10 - 6/14) - App Thunkable
Week 4 (6/17 - 6/21) - Roblox
Week 5 (6/24 - 6/28) - 3D Printing
Week 6 (7/01 - 7/05) - MineCraft
Week 7 (7/08 - 7/12) - Scratch
Week 8 (7/15 - 7/19) - App Thunkable
Week 9 (7/22 - 7/26) - Roblox
Week 10 (7/29 - 8/02) - 3D Printing
Week 11 (8/05 - 8/09) - Roblox

Please Select Sessions (11+)*

	Please Select
Week 1 (5/28 - 5/31) - Python
Week 2 (6/03 - 6/07) - Web Development
Week 3 (6/10 - 6/14) - Unity
Week 4 (6/17 - 6/21) - Midjourney
Week 5 (6/24 - 6/28) - Java
Week 6 (7/01 - 7/05) - Tech Young Entrepreneurs
Week 7 (7/08 - 7/12) - Python
Week 8 (7/15 - 7/19) - Web Development
Week 9 (7/22 - 7/26 - Unity
Week 10 (7/29 -8/02) - Midjourney
Week 11 (8/05 - 8/09) - Tech Young Entrepreneurs

Total Session(s) Selected

Terms & Conditions*

I understand that my summer camp deposit is a non-refundable deposit that is credited toward the total registration cost. In the event that we need to cancel the camp program that you are registered for, any payments that you have made, including your deposit, will have the option of being donated, credited toward the next summer programs, or refunded to you. If less than four (4) students sign up for a week, the week of classes will have to be canceled. In the event of a cancelation, a notice will be sent out one week prior to the start date of that week.

Total Deposit 5-11

Total Deposit 11+

Total Deposit 5 or 11+

Total Deposit*

USD$20/week; will be credited to total camp cost

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration