Apply for the CyberFirst

Child's details

What is the first name of the child you are registering? *

What is the surname of the child you are registering *

What is the gender of the child you are registering? *

What is the ethnicity of the child you are registering? *

What is the school year of the child you are registering? *

What is the school of the child you are registering? *

• Parent/Guardian/Teacher Questions

What is your first name? *

What is your surname? *

What is your email address? *

What is your contact number? *

Would you like to attend 1 hour presentation from 9am-10am? *

Yes No

Consent & Dates

Which CyberFirst course would you like your child to attend?

CyberFirst Trailblazers - Saturday 11th June at UCLan CyberFirst Adventurers - Saturday 25th June at HOST

Do you consent to photography being taken of the child you are registering for the purpose of marketing CyberFirst programmes? *

Yes No

By completing and submitting this form, you are agreeing to our terms and conditions which enable us to contact you about the programme. You can access our terms and conditions below. *

I accept the terms and conditions

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