ONLINE BOOKING FORM

Student's Information
Student's Name*
Date of Birth
Date Format: YYYY dash MM dash DD
Gender
School Name
School Year
Please Select One*
- My child has never attended CodingPro Education
- My child has attended CodingPro Education before
Where did you hear about us?
Special Notes
- Does your child have any medical condition that you would the Instructor to be aware of?
Learning difficulties
Additional information
For the purpose of promoting coding and robotics, we share the picture of our class activities while your child is attending our session. Do you agree to this?
- Yes
- No
Disclaimer*
I am the legal guardian of the child and I have read and agree to Terms of Service in www.codingproeducation.com.au

Guardian/Parent's Information