KIDS #CODE CAMP 2016

CAMP REGISTRATION FORM

You understand that CODE CAMP starts:
August 8-12th (mon-fri - 5 days)

10am - 4:30pm (each day)

The fee for all 5 days and is $245
(light breakfast,  lunch and snack each day) + $25 electronics fee
*students will receive a $100 voucher for an extended programming class to use during the school year

Kids will emerge themselves in learning the basics of computers and computer programming for the web and mobile devices. Kids will be lead by one of our skilled Instructors to build a full functioning website and publish it live on the web. This event is concluded (fri August 12th) with a field-trip to the California Computer History Museum. Permission slip will be given on registration check in day.

CHILD INFORMATION
Child's Name *
Child's Name
Child's Type
PARENT INFORMATION
Parent 1: Full Name *
Parent 1: Full Name
Parent 2: Full Name
Parent 2: Full Name
Address
Address
Phone (Cell)
Phone (Cell)
Phone 2 (Home)
Phone 2 (Home)
CAMP TECHNICAL INFO
Does your child have a laptop?
We ask our parents to provide their child a laptop before coming to camp as we are limited equipment. If your child does not have a laptop, mark "No" and we will provide a loaner laptop during classroom time.
We recommend you provide along with a laptop, a set of Earphones. There will be time where individuals will need to listen to a Youtube video and provide a answer on their interpretation of what they learned.
Field Trip Acknowledgement
There will be a day or two where we visit the Tech Museum the Microsoft Technology Center in Mountain View amongst other local quick trips. Would you allow your child to participate in Field Trips during the Summer camp term?
IN EMERGENCY CONTACT?
Emergency Contact *
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
SURVEY
What Interest does your child have?
What Interest does your child have?
My Child is creative
My Child is a nerd
My Child loves learning
My Child likes Computers
My Child reads a lot
My Child learns by Seeing
My child is social and loves being around other kids
You understand that CODE CAMP starts: August 8-12 (mon-fri) 10am - 4:30pm (each day) The fee for all 4 weekends is $245 (light breakfast, lunch and snack each day) + $25 electronics fee
I agree *