Code {STEAM} Teen Tech Class
Due to limited class size, not all applicants can attend the workshop. To understand our applicants better, we need you to fill out this questionnaire. We will contact you after the submission deadline to inform you if your child is enrolled in our class.
This class is for Teens 12 - 18
Email address *
Students First Name *
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Students Last Name *
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Parents First Name *
Your answer
Parents Last Name *
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Address *
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Contact Email *
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Contact Phone Number
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Students Age *
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Students Grade *
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School attending *
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We are running two sessions in Feb 2019.
Each Session goes from 4:00pm - 5:30pm

Session One - Tuesdays - Feb 5th, 12th, 19th & 26th.

Session Two - Wednesdays - Feb 6th, 13th, 20th & 27th.

Which Session are you wanting to enroll in? *
This section should be filled out by the Student
What are you passionate about?
Your answer
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