FREE TRIAL (ROBOTICS OR CODING) Registration

MARINE PARADE Free Trial Registration

Complete form below to signup for free trial session at The Brainery Code (Marine Parade).
Child's Name *

First Name Last Name
Age *
Date of Birth *

Month Day Year
Choose Program *
ROBO CODER Junior (age 5-8), ROBO CODER Senior (age 9 and up), KIDDO CODER (age 5 and up), TINKER CODER (age 7 and up)
Choose Date *
Choose Time *
Have you, and/or your immediate family member been served with a a)SHN (Stay Home Notice) or b)QO (Quarantine order) or c) LOA (Leave of Absence) or d) AA (Approved Absence) in the last 14 days? *
Have you or your child traveled overseas or is planning to travel overseas anytime from now till 60 days after this trial lesson? *
If Yes, please enter countries, Cities, and travel dates.
Register more children? *

Yes Nope, I'm done

expand to register 2nd child.
Child's Name

First Name Last Name
Age
Date of Birth

Month Day Year
Choose Program
ROBO CODER Junior (age 5-8), ROBO CODER Senior (age 9 and up), KIDDO CODER (age 5 and up), TINKER CODER (age 7 and up)
Choose Date
Choose Time
Have you, and/or your immediate family member been served with a a)SHN (Stay Home Notice) or b)QO (Quarantine order) or c) LOA (Leave of Absence) or d) AA (Approved Absence) in the last 14 days?
Have you or your child traveled overseas or is planning to travel overseas anytime from now till 60 days after this trial lesson?
If Yes, please enter countries, Cities, and travel dates.

expand to register 3rd child.
Child's Name

First Name Last Name
Age
Date of Birth

Month Day Year
Choose Program
ROBO CODER Junior (age 5-8), ROBO CODER Senior (age 9 and up), KIDDO CODER (age 5 and up), TINKER CODER (age 7 and up)
Choose Date
Choose Time
Have you, and/or your immediate family member been served with a a)SHN (Stay Home Notice) or b)QO (Quarantine order) or c) LOA (Leave of Absence) or d) AA (Approved Absence) in the last 14 days?
Have you or your child traveled overseas or is planning to travel overseas anytime from now till 60 days after this trial lesson?
If Yes, please enter countries, Cities, and travel dates.

expand to register 4th child.
Child's Name

First Name Last Name
Age
Date of Birth

Month Day Year
Choose Program
ROBO CODER Junior (age 5-8), ROBO CODER Senior (age 9 and up), KIDDO CODER (age 5 and up), TINKER CODER age 7 and up)
Choose Date
Choose Time
Have you, and/or your immediate family member been served with a a)SHN (Stay Home Notice) or b)QO (Quarantine order) or c) LOA (Leave of Absence) or d) AA (Approved Absence) in the last 14 days?
Have you or your child traveled overseas or is planning to travel overseas anytime from now till 60 days after this trial lesson?
If Yes, please enter countries, Cities, and travel dates.

Please provide your contact information.
Parent/Guardian Name *
Parent/Guardian E-mail *
Mobile Phone *

Country Code Phone Number
Home Phone

Country Code Phone Number
Address

Street Address

Street Address Line 2

City Country

Postal Code
How did you hear about us? *

Website Friends/Colleagues/Relatives Facebook/Instagram Flyers
NOTE: After clicking "SUBMIT". A representative from The Brainery Code will email you a confirmation within 1-2 working days. The Brainery Code enrichment centre located at 1 Marine Parade Central, Parkway Centre #06-02 449408. You may wish to contact us at 8588 0602 or via email to enquiry@thebrainerycode.com if you have any questions regarding your registration. Thank you for choosing The Brainery Code.
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MARINE PARADE Free Trial Registration