RocketHour Registration

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RocketHour Registration

RocketHour Registration

Register now to be first on the list for our September intake. Fill in this short form to get the ball rolling. No obligations, we'll take your lead.

Language

English (UK)

1
Track Registered
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To begin with, please give us your name:* This field is required.Parent/Guardian's Name
Your First Name
Your Last Name
3
Student's Name* This field is required.
Student's First Name
Student's Last Name
Preferred Name (that s/he would like to be referred to during the course)
4
Are you the student's...
Mom
Dad
Grandparent
Sister
Brother
Aunt
Uncle
5
Student's Date of Birth* This field is required.
Date
Day
Month
Year
6
Student's Gender* This field is required.
female
male
7
Which city and country are you based in?* This field is required.E.g. Johannesburg, South Africa
8
What grade is the student in?* This field is required.Currently, our courses are only available for grade/year 3s - 9.
Grade/Year 3
Grade/Year 4
Grade/Year 5
Grade/Year 6
Grade/Year 7
Grade/Year 8
Grade/Year 9
9
How old will the student be turning in 2021?* This field is required.Currently, our courses are only available for 9 to 15 year olds.
9
10
11
12
13
14
15
15 +
10
Will the student be turning 9 years old in 2021?
YESNO
11
RocketHour participants need to be able to cope well at the academic level of Grade/Year 3 - 9. They also need to have good experience using a PC.* This field is required.
Great! That sounds like my child!
I'm not sure - can we chat about it?
12
A fast, reliable internet connection will be essential. You will need a download speed of at least 8Mbps and upload speed of at least 2Mbps.* This field is required.You can check internet connection by using https://www.speedtest.net/
Yip! We have these speeds.
No, but we will contact our ISP to upgrade.
13
Your Contact Number* This field is required.
14
Your email address:* This field is required.Email address of parent/guardian
[email protected]
15
How did you find out about the RocketHour Programme?* This field is required.
Social Media
Google Search
Through a friend or relative
TV or Radio
We attended a live Think Camp
Mailing List
16
Please give us the full name of the friend or relative who referred you.
17
Almost done. Is there anything you would like to add?You are welcome to check your answers before submitting by clicking on the dots below.
Huge
Large
Normal
Small
Ok
Ok
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parent_firstname
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parent_lastname
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student_firstname
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student_lastname
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student_preferred_name
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will_student_be_turning_9_in_2021
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contact_number
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