PatMacTech UK Ltd

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Kids In IT Registration

Student Information

Full Name *

Email Address

Date Of Birth

Parent/Guardian Information

Full Name *

Relationship to Student *

Phone *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Class Selection

Age Group *Age Group 6-9 yearsAge group 19-12 years

Technology Access

Access to Technology *My child has access to a computer/laptop/tabletMy child has internet access during class timesI need help setting up the device for class

Emergency Contact (Optional but Recommended)

Name

Phone

Relationship to Student

Learning Needs or Special Instructions

Please Tick *YesNo

If Yes, please give more information

Photo & Video ConsentI give permission for my child’s image or work to be used in class recordings or promotional materialsI do not give permission

Consent *

Yes, I agree with the privacy policy and terms and conditions.

PatMacTech UK Ltd

Join us in unlocking the transformative power of your data and enhancing your online presence. Explore our services, meet our team, and envision the possibilities that await your business with PatMacTech.

Registered in the UK: 15385316

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Bedford, Bedfordshire, United Kingdom

Monday–Friday 09:00–17:00

+44 1234 413 856

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