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Consent & Enrolment Form for Super Coders LFI Clonskeagh After-School Program
This form is necessary to comply with data protection guidelines. Contact: 086 1927 260 http://letsleap.ie
Child 1: first name & surname
Your answer
Child 1: what age is your child?
Your answer
Child 1: what experience has your child had of programming, if any?
Your answer
Child 1: Is your child interested in any particular area?
Your answer
If applicable: Child 2: first name & surname
Your answer
If applicable: Child 2: what age is your 2nd child?
Your answer
Your first name, surname,
Your answer
Your email
Your answer
Your telephone number
Your answer
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 safe and supervised computer environment; professional children's internet filters are in place
Required
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.
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Thank you for taking the trouble to fill out the various forms.
For Admin Only ___________________________________________________
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