Student Information
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Your Contact Details
Full name *
Email *
The email we last contacted you on.
Phone *
Full address *
Github username *
This is required in order to add you to our GitHub organisation where you access exercises. Without this username we wont be able to give you access.
Health
Please let us know if you have any health conditions or other challenges that might pop up during your Dev Academy studies (diabetes, heart conditions, anxiety, dyslexia, chronic back pain, PTSD etc). This will help us to support you fully :)
Do you have any particular needs with regard to your health, learning or accessibility that would help us support you through foundations/bootcamp?(optional)
Dietary preferences and or allergies  
Next of Kin
In case of an emergency, who should we contact?
Name *
Phone *
Email *
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