City of Brantford

Postal Code

Only residents of Brantford are eligible for this program.

Parent

First Name (Required)

Last Name (Required)

Learner Information

First Name (Required)

Last Name (Required)

Birth Date (Required)

Required Primary Contact Email (Must be for a parent, if learner is a child)

Child Learner Email (Optional)

Learner has previous coding experience (Optional)

Do you have a referral code? (Optional)

I agree to receive promotional emails and newsletters

Email: [email protected]

Work Time: 9:00 AM to 5:00 PM (Mon - Fri)

Work Place: Toronto, ON

Your Name (required)

Your Email (required)