New Student Registration
Form to register a new student to trial the K.I.C.K - Kids Into Coding Kapiti classes.
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Student's First & Last Name *
Student's School & Year *
Parent First & Last Name *
Parent Phone Number *
Parent Email Address *
Any issues KICK should be aware of? (eg severe food allergies, epilepsy, custody issues, etc)
Photos - KICK may take photos, however if child is identifiable, KICK will be in touch if it is to be used in any communications or on social media. *
Has your child had any previous coding experience?
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