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Consent & Enrolment Form for Super Coders LFI Primary School, Foxrock, After-School Program
This form is necessary to comply with data protection guidelines. Contact: 086 1927 260
Child 1: first name & surname
Child 1: what age is your child?
Child 1: which class did you book for this child?
Mon 2.45 - 3.45
Mon 3.34 - 4.45
Thur 2.45 - 3.45
Thur 3.45 - 4.45
Child 1: what experience has your child had of programming, if any?
Child 1: Is your child interested in any particular area?
If applicable: Child 2: first name & surname
If applicable: Child 2: what age is your 2nd child?
If applicable: Child 2: what class have you paid for?
Monday 2.45 - 3.45 (6-8 years)
Monday 3.45 - 4.45 (9+ years)
Thursday 2.45 - 3.45 (6-8 years)
Thursday 3.45 - 4.45 (9+ years)
Did you order a Raspberry Pi Kit?
No - we've got one already
1 Kit bought
2 Kits bought
Your first name, surname,
Your telephone number
Protection of your child's data: your child will be signing up to online learning programs requiring personal details.
Your child will be encouraged to create a fake ID to protect their digital privacy. Our best efforts are in place to provide a child friendly computer environment; professional children's internet filters are in place and the children are in a supervised area.
I agree that my child can go online.
Protection of your data:
Your contact information will be kept secure and private in accordance with the Data Protection Act. If you would NOT like to be contacted please indicate this below.
I would prefer NOT to be contacted
Thank you for taking the trouble to fill out the various forms.
For Admin Only ___________________________________________________
Payment for term received of € ______
Enrolment form completed by guardian
Enrolment form entered on database
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