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Coding Program Application - Summer 2017
Please complete this application/registration form. When you click SUBMIT, you will be taken to a payment page. Both completed application and payment are needed to complete your child's registration.
Email address *
Student Name *
Your answer
Summer Session: *
Grade (in Fall 2017) *
School *
Your answer
Gender *
Parent(s) Name(s) *
Your answer
Address (include city and zipcode) *
Your answer
Parent email (that is checked regularly)
Your answer
Parent phone number *
Your answer
FOR STUDENTS: Why are you interested in this program? *
Your answer
Have you ever done any coding or taken a class in coding or computer science? *
Required
If YES, please tell us more. Where? For how long? What coding languages did you learn?
Your answer
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