Intake Survey | Live, Online Coding Classes for Kids Ages 8-18

Primary Parent

Please enter primary parent information below.

Relationship*

Parent #1 Name*

First Last

Parent #1 Primary Email*

For account communication and class progress reports

Parent #1 Cell Phone*

Secondary Parent

Please enter secondary parent information below.

Relationship*

Parent #2 Name

First Last

Parent #2 Primary Email

For class progress reports.

Parent #2 Phone

Student Information

Please enter student's information below.

Student Name*

First Last

Student Email

For class progress reports and notifications

Marketing Consent

By checking yes, I hereby grant permission to CodeWizardsHQ to use photographs and/or video of my child taken in class or other activities with CodeWizardsHQ in publications, releases, online, and in other communications related to the mission of CodeWizardsHQ.

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Marketing Consent

By checking yes, I hereby grant permission to CodeWizardsHQ to use photographs and/or video of my child taken in class or other activities with CodeWizardsHQ in publications, releases, online, and in other communications related to the mission of CodeWizardsHQ.

Mailing Address*

Where should we send your student's certifications, swag, and other surprises?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student T-Shirt Size*

Youth T-Shirt Size Chart

Adult T-shirt Size Chart

Intake Questions

Please answer the following questions about your student.

What prior coding experience does the student have?

Past camps, school courses, online video courses etc.

How comfortable is the student with typing?

Do they know where the keys are? Do they use multiple fingers vs single finger? etc.

What else should we know about the student?

How they learn best? What learning approach is effective with them? etc.