Tech Camp - Programming Camp Registration Information in the Bay Area for Kids & Teens | Java, Minecraft, Python, Programming, Coding, Scratch, Web Design & STEM | San Francisco Bay Area Computer Summer Camps -- Kids & Teens in San Mateo, Foster City, Pen

Registration

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Child's Name *

First

Last

Date Of Birth *

Gender *

Parent's Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact *

First

Last

Emergency Phone Number *

Does your child have any allergies? What are the symptoms and actions to be taken, if any? *

Physician's Name *

First

Last

Physician's Phone Number *

Insurance Company *

Policy Number *

Hospital Preference *

Photo Authorization *

I consent to TechSmart Academy’s use of any photos or videos that are taken of my child while participating at camp activities for use on TechSmart Academy’s website, and marketing material that may be distributed as a printed document or published on the internet. I understand that neither I nor my child will be compensated for this.

How did you hear about us? *