Parent details

First name *

Last name *

Email *

Alternate email

Phone number *

Emergency phone number *In case of an emergency, this phone number will be contacted first.

Address *

Notes

Where did you find out about CodeCamp? *

Programme

Programme *

Late Pickup

3-5pm Monday to Wednesday Only

Monday $20

Tuesday $20

Wednesday $20

Friday $65 (optional) Week Total $460

Friday

Discount codeSibling discount is automatically calculated

First name *

Last name *

Date of birth *

Gender *

T-shirt size if Holiday Programme

NotesPlease add information such as allergies here. You may also include prior experience.

Has second student

First name

Last name

Date of birth

Gender

T-shirt size if Holiday Programme

NotesPlease add information such as allergies here. You may also include prior experience.

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