Parent's First Name*

Parent's Last Name*

Parent's Email*

Parent's Phone*

Is your child currently enrolled in a class?*
n/aYesNo

Child's First Name*

Child's Gender*
n/afemalemale

Child's Grade*
n/aK1st2nd3rd4th5th6th7th8th

Which Tech are you interested in?*
n/aCodingRoboticsDronesGame DesignDigital Arts

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n/aYesNo