REGISTRATION FORM Please fill in the details of the child in the form below Step 1 of 2 50% PARENT'S DETAILS(Required) First Last Parent's Email Parent's Phone(Required) CHILD'S DETAILSChild's Name(Required) First Age Range(Required) 4-6 7-9 10-12 13-15 16-18 Program(Required) After-School Class Weekend Class Summer Class Online Class Internship App Contest Course(Required) Block Programming Web Development Mobile App Development IoT & Robotics Graphics Design Digital Literacy S.T.E.M Problem Solving Inter-Personal Skills *Not Sure Add 2nd Child Yes No Child 02 Name(Required) First Child 02 Age(Required) 4-6 7-9 10-12 13-15 16-18 Child 02 Program(Required) After-School Class Weekend Class Summer Class Online Class Internship App Contest Child 02 Course(Required) Block Programming Web Development Mobile App Development IoT & Robotics Graphics Design Digital Literacy S.T.E.M Problem Solving Inter-Personal Skills *Not Sure Add 3rd Child Yes No Child 03 Name(Required) First Child 03 Age(Required) 3-6 7-12 13-18 Child 03 Program(Required) After-School Class Weekend Class Summer Class Online Class Internship App Contest Child 03 Course(Required) Block Programming Web Development Mobile App Development IoT & Robotics Graphics Design Digital Literacy S.T.E.M Problem Solving Inter-Personal Skills *Not Sure Add 4th Child Yes No Child 04 Name(Required) First Child 04 Age(Required) 3-6 7-12 13-18 Child 04 Program(Required) After-School Class Weekend Class Summer Class Online Class Internship App Contest Child 04 Course(Required) Block Programming Web Development Mobile App Development IoT & Robotics Graphics Design Digital Literacy S.T.E.M Problem Solving Inter-Personal Skills *Not Sure Δ