Teen Programming Academy -  Summer 2018 Class Registration
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Child's Name *
Parents Name *
Which class are you registering for?  (Select One) *
Address
City *
Parent Home Phone Number *
Parent Cell Phone
Parent Email *
Child's Grade level 2018-2019
Child's Age *
Child's School *
Child will need a laptop with Windows OS.  Do you have one or need to borrow one during class? *
Additional Comments
Payment Method *
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