Section 1: Parent/Guardian Information

Full name:

Your email:

Phone number:

Preferred Contact Method:
EmailPhone

Section 2: Student Information

Full name:

Age:

Grade Level:

Experience Level in Coding/English (if applicable):
[radio* experience-level use_label_element "Beginner" "Intermediate" "Advanced"]

Section 3: Course Selection

Course:

Level:
[radio* level use_label_element "Beginner" "Intermediate" "Advanced"]

Preferred Schedule:

Course Start Date:

Section 4: Additional Information

Does your child have any learning preferences or needs we should be aware of? (e.g., learning style, special requirements)

How did you hear about us?

Section 5: Confirmation

Terms & Conditions
I confirm the information provided is accurate.I agree to the school’s terms and policies.

Privacy Policy
Terms & Conditions