Coding Club Student Registration Form

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If you have a student in the Waynesville R-VI School District grades 3-12 that is interested in participating in an after school Coding club this school year please complete this registration form. Information regarding specifics as far as location, date and time for club meetings will be shared with registered students by September 3. The registration window is open from August 16- 23. Registration will be processed in the order they are received.

Student Name: *

Grade Level: *

Birthdate *

YYYY

Building: *

Classroom/ Homeroom/ Tiger Time Teacher: *

Parent/ Guardian Name(s): *

Parent/ Guardian Contact #: *

If interested in both coding and robotics, which is your student's first choice? *

Does your student have any experience in coding? *

Yes

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