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BLUE1647's 21st Century Youth Project Course Series Notification Form
21CYP Youth coding course series operate on a rolling-basis. Once you complete this form, we will only update you when class applications, workshops or coding event registration opens.

Programs are:

Weekend, part-time, and full-time coding Bootcamps.
- LUA/Java Minecraft Coding Bootcamps
- Web Design & Development Coding Bootcamps
- 3D Design Classes
- Python Coding Classes
- Photography Classes
-Special themed technology workshops and classes
- and more!

Students will also receive access to BLUE1647, an impactful entrepreneurship & technology innovation center, located at 1647 South Blue Island, Chicago, IL. 60608 First Floor.

Student Information
Students First and Last Name
Your answer
Phone Number
Your answer
Email Address (PLEASE MAKE SURE THERE ARE NO TYPOS)
Make sure this is input correctly.
Your answer
Age
Your answer
Student's Gender
Student's Ethnicity
What school does your student/s attend?
Please list full school name.
Your answer
Parent's Information
Parent or Guardian Name
Your answer
Parent or Guardian Phone Number
Your answer
Parent or Guardian Email - (this is where we will be contacting you)
(this is where we will be contacting you; please input accurately)
Your answer
Why are you interested in the 21st Century Youth Project, and what do you want your student to accomplish?
Your answer
The responses in this application are truthful. If I attend, I will abide by the rules and expectations of the program and trainers
How did you hear about 21st Century Youth Project or BLUE1647?
I understand that by completing this form, I will only be updated when class applications, workshops or coding event registration opens.
I agree for photos to be taken of my child to chronicle the experience at BLUE1647
Submitting your application signifies that you have read and agree to the Privacy Policy linked here: http://bit.ly/1AxeqrC
What school does your student attend?
Please list the full name.
Your answer
BEFORE YOU SUBMIT, PLEASE CHECK THE EMAIL ADDRESS YOU ENTERED ABOVE TO ENSURE THERE IS NO TYPOS OR SPELLING ERRORS.
Several do not receive any updates because the email is typed in incorrectly.
Submit
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