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Coding Bootcamp Registration Form

Registration: March 24, 2025 to April 25, 2025

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Coding Bootcamp Application - High School Students

Contact Information

Participant's Name
Participant's Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Are you a resident of Clayton County?
Is English your primary language:
Are you currently enrolled in school?
Are you currently employed?

Parent/Guardian Information

Name
Name
First
Last
Is English your primary language?
Are you currently employed?
$
Other Sources of Income (Select all that apply)

Emergency Contact Information

Name
Name
First
Last
Is the child taking any medication?
Does your child have a communicable disease or condition which may prove to be a risk to others
I have read and understand the program eligibility requirements and application deadline:

Maximum file size: 134.22MB

Maximum file size: 134.22MB

Maximum file size: 134.22MB

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