Code N Bots Online Registration

Registration

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Welcome to Code N Bots!

After registering your students below please log in to the portal to enroll in specific classes and camps.

Students using alternative funding programs (such as Utah Fits All, Open Ed, etc) please contact Code N Bots after registration to arrange for enrollment and class payment.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

City*

State*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

If using a program for funding please indicate which (Utah Fits All, Open Ed, etc)

If using a program for funding please indicate how you will pay (Class Wallet, reimbursement, etc)

Photo Release (Yes/No)*

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

If using a program for funding please indicate which (Utah Fits All, Open Ed, etc)

If using a program for funding please indicate how you will pay (Class Wallet, reimbursement, etc)

Photo Release (Yes/No)*

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

If using a program for funding please indicate which (Utah Fits All, Open Ed, etc)

If using a program for funding please indicate how you will pay (Class Wallet, reimbursement, etc)

Photo Release (Yes/No)*

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

If using a program for funding please indicate which (Utah Fits All, Open Ed, etc)

If using a program for funding please indicate how you will pay (Class Wallet, reimbursement, etc)

Photo Release (Yes/No)*

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

If using a program for funding please indicate which (Utah Fits All, Open Ed, etc)

If using a program for funding please indicate how you will pay (Class Wallet, reimbursement, etc)

Photo Release (Yes/No)*

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Registration

Welcome to Code N Bots!

After registering your students below please log in to the portal to enroll in specific classes and camps.

Students using alternative funding programs (such as Utah Fits All, Open Ed, etc) please contact Code N Bots after registration to arrange for enrollment and class payment.

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Registration

Welcome to Code N Bots!

After registering your students below please log in to the portal to enroll in specific classes and camps.

Students using alternative funding programs (such as Utah Fits All, Open Ed, etc) please contact Code N Bots after registration to arrange for enrollment and class payment.

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)