Cork Register

Parent Name (required)

Child 1 Name, Age (required)

Child 2 Name, Age (If any. Optional)

Your Email (required)

Contact Number (required)

Course (required. Select all courses interested)

STARTER - Age 5+ to 7 - Block Based CodingEXPLORER - Age 7+ to 9 - Block based Scratch, Websites, Mobile AppsGAMER - Age 9+ - Block based Games, Roblox & Minecraft Games CodingDeveloper - Age 11+

Preferred Community Centre Location (required. Select all convenient centres)

BallinCollig - The Carraig CentreBlackpool Community CenterCarrigaline Community ComplexCobh - Great Island Community CentreDouglas Community CentreSMA Wilton Parish CentreRingaskiddy Community CentreRiverstick Community CenterGlen Resources Centre

Other Locations Preferred (Other than Dublin Zone listed above. Optional)

Preferred Day & Time (required. Select all convenient time)

Monday (5PM - 7PM)Tuesday (5PM - 7PM)Wednesday (5PM - 7PM)Thursday (5PM - 7PM)Friday (5PM - 7PM)Saturday (10AM - 1PM)

Any Special Needs like Dyslexia/Autism/ADHD or anything other?(required)

YesNo

Your Query (If any)