Coding Classes Registration Form -

Child's Name *

Parent/Guardian *

Email *

Phone Number *

Course Name *

How did you hear about us?

Does the candidate have any special requirements or disabilities? *

If yes, please explain:

(see codes below)

Special needs	Code
Sight	S
Hearing	H
Learning	L
Mobility	M
Other	S
Candidate prefers no statement	O

Coding Classes Registration Form