Booking Form for cccSkerries Classes 2016/17
Student's First Name
Student's Last Name
Student's Year of Birth
Class or Year Student is Attending 2016/17
Primary: 1st Class
Primary: 2nd Class
Primary: 3rd Class
Primary: 4th Class
Primary: 5th Class
Primary: 6th Class
Secondary: 1st Year
Secondary: 2nd Year
Secondary: 3rd Year
Secondary: 4th Year
Secondary: 5th Year
Secondary: 6th Year
School Student is Attending
Weekly Class enrolling for
Mon 5 p.m. to 6.30 p.m.: Intermediate Scratch Coding 3rd to 6th class
Tue 3.45 to 4.30 p.m.: Keyboard Skills / Touch-Typing, all ages
Thurs 3.10 to 4.40 p.m.: Intermediate Scratch Coding 3rd to 6th class
Thurs 5 to 6.30 p.m.: Junior Minecraft Club up to 3rd class
Already in a class, just confirming details
Other (see comments section)
Parent's first name:
Parent's last name:
Parent's phone number:
Would you like to receive our monthly cccSkerries newsletter?
cccSkerries = creative computing classes Skerries. Our newsletter goes out around the middle of each month.
Already get it.
Now and again, we may be taking pictures of the children during the class. We may publish these on our Facebook page Facebook.com/cccSkerries and / or on our website as well as in printed material. Please indicate whether you are happy with this. For child-protection reasons, we never publish children's names with their pictures nor do we allow 'tagging' of names.
We may also use pictures in our brochures. Is that OK for you?
Yes, I am OK with this.
No, please make sure my child does not appear in any pictures.
Any comments? Questions? Please leave them here! Thank you! I'll get back to you. Sabine
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