Coding Registration

Coding Registration Form
Child's Name*

First NameLast Name
Child's Age*
Gender*

MaleFemale
Parent/Guardian's Name*

TitleFirst NameLast Name
Phone Number*

Country CodePhone Number
Email Address*
Please enter an active email address.
Physical Address*

Estate/Street/Hse No.

Street Address Line 2

City/TownState/County

Postal / Zip Code
Coding Experience Level *
Preferred Coding Track*

Block-Based CodingGame DevelopmentRobotics and Physical ComputingPythonWeb and App DevelopmentComputational Thinking and Logic
Preferred Mode of Learning*

In-HomeOnlineHybrid
Preferred Days of Learning*

MondayTuesdayWednesdayThursdayFridaySaturday
Preferred Time of Learning*

MorningAfternoonEvening
Why is Your Child Enrolling?*

Fun and ExplorationAcademic EnrichmentFuture Career PreparationProblem-Solving SkillsCreativityCompetitions and Challenges
Does Your Child Have Any Prior Coding Experience? If yes, please specify in the comments.*
Which date would you like your child to start learning?*

DayMonthYear

AM/PM Option
Comments (for any special requests or additional information)
Should be Empty:

Coding Registration Form