JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hypatia Academy Student Enrollment Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
Student Email
*
Your answer
Student Phone Number for Messages
*
Your answer
Student Instant Messenger
*
Choose
Viber
Telegram
WhatsApp
Signal
None
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
Are you male or female?
*
Male
Female
When is your birthdate? (Note that month comes before day in the form.)
*
MM
/
DD
/
YYYY
Why do you want to study Python?
*
Your answer
PARENTAL CONSENT Ask your parents to here to acknowledge that they give us permission to ask for your personal information on this Student Interview Request form and attend our online computer training classes. Then write that permission on a piece of paper and have them sign it. Then email it to
werowe@walkerrowe.com
. You cannot attend any classes without this permission.
*
I give my child permission to supply the information on this form to Hypatia Academy and have emailed a signed copied of this permission to
werowe@walkerrowe.com
..
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hypatia Academy Cyprus.
Does this form look suspicious?
Report
Forms
