Summer Coding Camp 2016

STUDENT REGISTRATION FORM   Scratch_Logo

Please fill out the following Registration Form to Register a single student. After filling out the form, please click the “Send” button below to send the registration information.

Also, make sure to download the Medical Release Form and Policies and Rules Form below and mail them to the KeyCoder’s mailing address.

    Parent/Guardian Name (required)

    Parent/Guardian Email (required)

    Address1 (required)

    Address2

    City (required)

    State (required)

    Zipcode (required)

    Phone Number (required)

    Name of Student to Register (required)

    Age of Student (required)

    Select the Class You are Registering the Student For

    Pickup List - List of Authorized Adults to Pickup Your Child (required)

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