SUMMER CODING CAMP SELECTION
*
Please select the course you are registering your child for:
Child First Name
Child Last Name
Gender
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Grade
*
Select your child's incoming grade level:
Scratch email
What email will your child use for their Scratch account? This is only required for girls attending the Scratch class.
Primary Parent Name
*
First Name
Last Name
Primary Home Phone
*
(###)
###
####
Primary Email Address
*
Primary Cell Phone
*
(###)
###
####
Secondary Parent Name
First Name
Last Name
Secondary Parent Cell Phone
(###)
###
####
Secondary Parent Email
Medical Information
*
Does your child have any limitations or medical conditions that could affect their participation in this class?
Medical Comments
Please explain if you answered yes above. Be sure to include asthma and allergy information.
Photography/Media Release Form
*
I grant to HowGirlsCode the right to take photographs of my child during their summer programming. I authorize HowGirlsCode to copyright, use and publish the same in print and/or electronically.
I agree that HowGirlsCode may use such photographs of my child with or without their name and for any lawful purpose, including for example such purposes as news articles, publicity, illustration, advertising, and Web content.
Examples of how we use photography online and via twitter can be seen here: http://www.howgirlscode.com/news-and-updates/ .
Ethnicity
One of our goals is to ensure we are providing programming to a diverse group of girls. Please indicate your ethnicity.
Thank you for registering for our summer coding camp, you are almost done...
To COMPLETE course payment, please go to http://www.howgirlscode.com/payment If you registered for one of our FREE, sponsored courses ; this completes your registration. No payment necessary!
The HowGirlsCode team will email you within 24-48 hours with your course confirmation information.
