JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Level Up! Registration
Ignite your child's passion and help them Stay Curious!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Brought to you by Chumbaka Miri (All Aboard Young Leaders Centre)
Sign-up for Coding and Physical Computing
Technology Enrichment Program
Participant's Name
*
Your answer
Age
*
Choose
8
9
10
11
12
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Mobile Contact
*
Your answer
Parent/Guardian's Email
*
Your answer
*
I have reviewed the schedule and are aware of the session dates
Required
By signing my child up for Chumbaka Coding and Physical Computing programme, I am agreeing to the following programme fee, hardware cost and provision of a laptop for my child's use
*
RM792 (RM198 for every 4 weeks X 4 payments)
RM169 for the purchase of Chumbaka Arduino Starter Kit
Prepare a working laptop with Windows or Mac operating system
Required
Please feel free to drop us any comments or questions you may have. We will get back to you on your queries.
*
Your answer
Thank you! We will be in touch soon via email and whatsapp.
If you wish to reach us, contact Haslina at +60 138399857 or email
ask@allaboardylc.org
. For more information on Chumbaka programmes, visit
www.chumbaka.asia
.
All Aboard Young Leaders Centre is a Sarawak-based social enterprise dedicated to the empowerment of children and youths. By supporting us, you are supporting our cause to bring our programmes to disadvantaged children and youths.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
