Code Camp Enrollment Form

Code Camp Enrollment Form

Student Information

Please fill out a separate form for each student.

Parent/Guardian Information

Which school does your child attend? *
What grade level? *

Media Release

Filling out this section allows us to include your child in photos that may be shared to our social and other media outlets.
I hereby give permission to Kauai North Shore Community Foundation to use photographs of my child, named above, for community sharing, outreach, and future program advertising associated with Kauai youth enrichment programs and services. Furthermore, I understand that no royalty, fee, or compensation shall become payable to me by reason of such use. *

Important Notice