Coding Registration (Thurs. 7:30 - 9:30PM from 6/30 to 8/4/22)
Full responses required to enroll in this SDGSAT program
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Student First Name *
Student Middle Initial (Enter "X" if you have no middle name) *
Student Last Name *
STUDENT'S Cellphone # (you MUST reply to our text msg within 24 hours to complete your registration.  You MAY provide Instagram/Facebook ID instead if you do NOT own a cellphone)
How did you hear about this course? *
Name of Student's School: *
Your Current Grade (as of Fall 2021).  [Min 8; enter 13 if Graduated HS] *
Please check ANY of the following which MIGHT interest you as a potential career (Try to pick at least one before selecting NONE) *
Required
Approximately how many hours per week do you spend on SCHOOL-related extracurricular activities? Round to nearest WHOLE number. *
Approximately how many hours per week do you spend on OTHER (not school-affiliated) extracurricular activities? Round to nearest WHOLE number. *
Parent/Guardian name (First & Last): *
Parent/Guardian email address: *
Residence Address (include Apt #; skip zip code) or enter NONE if no permanent residence : *
Residence Zip Code: (enter 00000 if None) *
Does your family... *
How many years have you lived in your CURRENT state (usually NY, BUT not always) ? Round to nearest year. *
Check ALL items below for which you qualify : *
Required
Which best describes the HIGHEST education level of your parent(s) / guardian(s)? *
Family's Primary Vehicle (Year, Make, Model. Ex: "2016 Honda CRV").  Write "NONE" if your family owns no automobiles. *
How can you access the Internet at home (check ALL which apply): *
Required
"I certify that all of the above answers are true, to the best of my knowledge.  If attending in-person class, I agree  not to hold Covenant Church PCA  (or any of its members) responsible for any potential COVID-19 related incidents which could impact me directly or indirectly. " *
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