Alumni Only Fill Out The Form Below Or Email bookings@codecamp.co.nz www.codecamp.co.nz Enrollment form - Master Parents InfoFirst Name*Last Name*Email*Phone Number*Emergency Contact Number*Address* Street Address Suburb City Program TypeProgram type*Note: Saturday classes are under the After School OptionHoliday ProgramVirtual Code CampAfter SchoolStudent InfoStudents AttendingOne studentTwo studentsStudent First Name*Student Last Name*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*FemaleMaleT-Shirt Size81012142nd Student2nd Student First Name*Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119202nd Student Gender*FemaleMale2nd Student T-Shirt Size8101214Virtual Code CampStream Selection*We are currently offering two different types of virtual code camp. 1:1 - You will have your own private tutor 1: 5 - You will be placed in a group of maximum of 5 students1:11:5Holiday Program EnrollmentChoose Your Campus* Queen Margaret College (Wellington)Carncot (Palmerston North)Rangi Ruru (Christchurch)Weeks Attending*Which weeks is your child going to attend? Please take note of the weeks on offer at each venue: Rangi Ruru runs 11th - 15th, and 18th - 22nd January. Carncot runs 18th - 22nd and 26th - 29th January. QMC runs 4 or 5 days all 3 weeks, the only exception being the final week which is 26th - 28th. 11th January - 15th January 18th January - 22nd January 26th January - 28th January Attendance*4 days (Mon-Thu) - $395 or 3 days (Tues-Thurs) - $3005 days - $460Please bear in mind as Fridays are Optional, they are dependant on meeting minimum numbers. If we do not reach these numbers, the Friday may be cancelled. We will fully refund the Friday in this instance. 5th Day on which Weeks*Note: Friday is not available on week 3 (29th January) at Queen Margaret College. 11th January - 15th January 18th January - 22nd January 25th January - 29th January Late Pickup*Late pickup is available from 3 - 5 PM. Note: Late up is an additional $20 per child per day needed. Not available on Fridays. YesNoLate Pickup on which days?* Monday Tuesday Wednesday Thursday CoursesSelect the courses you'd like your child to take. Please see Levels & Streams Above for more information. I'm New - Please Assess My ChildNinja - Block Based CodingHacker - Text Based CodeDeveloper - Advanced TextRobotics - SkynetHacker Stream*Choose your courseHTMLJavaScriptPythonThunkableCollege Streams*Choose your StreamGrowth Hacker & EntrepreneurUni Crash CourseWeb Development2nd Student LevelsI'm New - Please Assess My ChildNinja - Block Based CodingHacker - Text Based CodingDeveloper - Advanced Text CodingRobotics - Skynet2nd Student Hacker Courses*Choose your courseHTMLJavaScriptPythonThunkableAfter School EnrollmentSelect Venue*Select the After School Venue, you would like to enrol atBurnsideCarncotChiltonClyde QuayCollege StKarori Community CentreKhandallahMiddletonPNINSPrebbletonRangi RuruSeatounSt BenedictsSt MarksSt MartinsThorndonOwhiro Bay1st Student Program selection St Marks*Note: Both programs are hosted at the same time and day Lower primary: years 3 - 4 Upper primary: years 5 - 8Upper primaryLower primary2nd Student Program selection St Marks*Note: Both programs are hosted at the same time and day Lower primary: years 3 - 4 Upper primary: years 5 - 8Upper primaryLower primaryAdditional InformationYour Current School*The school your child is enrolled atNotes Let us know a little bit about you. How did you find us?*Discount CodeAdd an optional discount code if you have one. Use "SIB" for 6% off Sibling bookings.View Terms & ConditionsI agree to the Terms & Conditions*YesNoDisclaimerIf you experience any problems, feel free to email us on bookings@codecamp.co.nz.