2023-2024 TechBrainiacs Create and Code After School (CCSD)

Please select your child's school

Don't worry if it looks like we're sold out at your child's school. With students joining and leaving all throughout the year, it won't be long before we have an opening. Please use the waitlist feature to pre-register your child and we will contact you as soon as we have a spot for them to get started.

We pride ourselves on the flexibility of our program. Instead of enrolling for any set period of time, you are purchasing for your child a certain number of weekly sessions -- no matter when those sessions are actually used. While we hope your child will be able to join us every week, you need not worry if there are times they must be absent. Your family will always receive the number of sessions for which you've paid (or value in the form of a credit).

Our self-paced program will allow your child to pick back up right where they left off and never feel left behind. New students can join at any time.

Leftover sessions from the Fall semester will roll over to the Spring, and you will receive credit at the end of the year for any remaining sessions.

Deposits available for full semester and full school year packages.

Full Year: Pay 50% now and the balance will be automatically charged on January 1st, 2024.

Fall: Pay 50% now and the balance will be automatically charged on November 1st, 2023.

Spring: Pay 50% now and the balance will be automatically charged on March 1st, 2024.

REGISTRATION OPTIONS

You are registering for our 2023-2024 in-school Create and Code enrichment program.

NEW! MONTHLY MEMBERSHIPS

LONG TERM REGISTRATION

Add Spring Semester - Wednesdays

SINGLE SESSIONS

TECHBRAINIACS MERCH

PARENT INFORMATION

Parent/Guardian's Name

Phone Number

Preferred Contact Method

Email
Text
Phone

Address

CHILD INFORMATION

Child's Name

Child's Date of Birth

Child's Gender

Male
Female

Who is your child's teacher?

How will your child be getting home after club ends?

Does your child have any medical/behavioral issues that may impact their ability to be successful with TechBrainiacs?

On their first day in club, your child will be presented with information about the five different learning paths we offer them. If you or your child feel strongly about starting with a particular path, you may mark it here. Otherwise, each child will make that decision for themselves. Your kids will have the opportunity to explore multiple paths and tools throughout the year.

EMERGENCY INFORMATION

Emergency Contact (If parent/guardian cannot be reached):

Emergency Contact Phone Number:

Relationship to child:

Subtotal

$0.00

DISCOUNTS

We are happy to offer a one time $20 discount* to these valuable members of our community. Please click the checkbox if you qualify and your registration total will be adjusted automatically. Thank you!

*Discounts require a registration total of $50+ and may not be combined.

We qualify for the Educator (Teachers/Administrators/Support Staff) discount.
We qualify for the First Responder (Police/Fire/EMT) discount.
We qualify for the Military (Active Duty/Veteran Servicemembers) discount.

If you qualify for this discount and have trouble applying it with the checkboxes above, please manually enter the code DISCOUNT20.

Coupon Code

Credit Voucher Code

Additional Discounts

Credit Card Processing Fee

$0.00

Note: Processing fee may be avoided with offline payment via check. Please contact us for more information.

Additional Charges

Registrant Total

$0.00

Photo Consent*

By registering, I am giving my permission for my child/children to be photographed or recorded during TechBrainiacs clubs, classes, and other events. I understand that these photographs/recordings may be used in marketing materials through print, video, and online channels. Please contact us with any questions.

Billing Disclaimer*

I understand that TechBrainiacs reserves the right to adjust billing and charge the credit card kept on file for any sessions attended beyond those that have been paid. We will send periodic updates to let you know how many sessions your child has remaining and you may contact us at any time for this information.

Refund Policy*

I understand and accept TechBrainiacs' refund policy:

If you are not completely satisfied after your child attends their first club session, please let us know and you will receive a full refund for any unused sessions*.

No refunds will be issued after a child has attended a second time. If your child attends a free trial, any paid sessions thereafter will be non-refundable. Memberships may be canceled at any time, but we will be unable to provide refunds for sessions not used prior to expiration.

*Processing fees may apply.

Almost done, where should we send the confirmation?

Name

Phone Number

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