Kids Class Questionnaire and Consent Form
Please complete this prior to the first day of class
Email address *
First and Last Name of Child(ren) *
Your answer
First and Last Name of Parent/Guardian(s) *
Your answer
Phone Number *
Your answer
Allergies *
Your answer
Medical conditions we should be aware of *
Your answer
School and Grade *
Your answer
Does (do) your child(ren) have experience coding? None is necessary, we are just curious😃. *
Your answer
Consent Form *
By entering your initials below I understand that: • My child may be photographed, videotaped and/or voice recorded and for his/her name, image, likeness and voice to be used in Suncoast Developers Guild approved photographs, videos, publications, internet, news and social media and web pages for marketing purposes.• A parent or guardian must stay with my child(ren) during the class if they are 16 years of age or younger, and only the adults indicated below are authorized to pick him or her up.• The employees/volunteers have no medical or emergency training, and I agree to release Suncoast Developers Guild and its employees/volunteers and will hold them harmless from any liability which may arise from incidents or accidents involving my child(ren) and myself while on attending the program, to the extent allowed by law.
Your answer
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This form was created inside of Suncoast Developers Guild.