Registration - Code Ninjas Club

Registration Form

Please fill out all the required information below

Existing Child Check

Has your child registered for the Code Ninjas Club before?

No, this is for a new childYes, enrolling for Code Ninjas Club

Parent/Guardian Information

Full Name of Parent/Guardian *

Phone Number Of Parent/Guardian *

Email Address Of Parent/Guardian *

Preferred Mode Of Contact *

Phone/SMSEmail

Will you do the drop off & pick up of your child daily? (If no, please state two alternative names that may do the drop off and pick up) *

YesNo

Child Information

Child's Full Name *

Child's Date of Birth *

Child's Age

Program Schedule *

Does your child have prior coding experience? *

YesNo

Photo Usage and Consent

Kindly note that photographs and videos may be taken at our Preschool. By registering your child, you give Petite Elise Preschool and Code Ninjas Club the permission to use photographs, images, and/or video footage of your child for promotional reference for our future kid-friendly programs.

Photograph Usage Consent *

I authorize my child's photograph or image to be used in any of Petite Elise Preschool promotional reference for kid-friendly events.I do not authorize my child's photograph or image to be used in any of Petite Elise Preschool promotional reference for kid-friendly events.I permit certain features (except for face and full body photos) of my child to be used in any of Petite Elise Preschool promotional reference for kid-friendly events.