Coding with Kdog
Registration: Scratch - Summer 2019
Students Name *
First and last name
Your answer
Grade *
Which school will you be attending next year? *
Your answer
Previous Coding Experience *
Parent or Guardian Information
Parent or Guardian's Name *
First and last name
Your answer
Phone number *
Where you can be reached during class time
Your answer
Email *
We will send an email confirming your registration
Your answer
How will your son or daughter get home? *
Who is authorized to pick up your child?
Please enter the name(s) of any other adults who can pick up your child.
Your answer
May we create an online Scratch, Khan Academy, or Unity account for your child? *
The account is needed for your child to save their work.
Permission to use photos of your child *
By registering for this class you agree that we may use photos taken of your child during class on our website or in other marketing materials.
Completing Registration
After submitting this form, press the Paypal button to complete your registration.
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