Parent Name (required)

Child 1 Age (required)

Child 2 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)

Ballyphehane Community CentreBallinCollig - The Carraig CentreBlackpool Community CenterCarrigaline Community ComplexCobh - Great Island Community CentreDouglas Community CentreGlen Resources CentreGlounthaune Community CenterRingaskiddy Community CentreRiverstick Community CenterSMA Wilton Parish CentreThe Rock Community Centre

Other Locations Preferred (Other than 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)

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

YesNo

Your Query (If any)