Student Full name
*
Parent/Guardian Name
*
Student DOB
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Email
*
example@example.com
Mobile
*
Emergency Contact Name
*
Emergency Contact Mobile
*
Contact Address
*
6. Medical Conditions or Allergies (Optional)
What is the student's current grade level?
Reception/Foundation
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Other
Which Course is the student registering for?
*
Please Select
Code Explorers(Age 4-6)
Digital Creators (Age 7-11)
Digital Learning Consent - I understand that this course requires the student to use appropriate online tools/platforms during the class. I consent to my child using age appropriate online platforms/tools
*
Yes
Do you consent to your child’s image (photos/videos ) to be taken during the Trail Session?
*
Yes
No
I agree to all Program Policies and Terms & Conditions
*
Yes
Register
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