Which camp location and dates are you applying for? * **Select one from below** Downtown Miami - July 10th-14th (8:30am-4pm) @ MDC Wolfson Campus Coconut Grove - July 17th-21st (8:30am-4pm) @ MDC Gibson Education Center Little Havana - July 17th-21st (8:30am-4pm) @ MDC Eduardo J. Padrón Campus Liberty City - July 24th-28th (8:30am-4pm) @ MDC Carrie P. Meek Entrepreneurial Education Center Second Choice Camp Location/Dates
If your first camp session choice is full, you can select a second choice here to improve your chances for being accepted.
**Select one from below** Downtown Miami - July 10th-14th (8:30am-4pm) @ MDC Wolfson Campus Coconut Grove - July 17th-21st (8:30am-4pm) @ MDC Gibson Education Center Little Havana - July 17th-21st (8:30am-4pm) @ MDC Eduardo J. Padrón Campus Little Havana - July 24th-28th (8:30am-4pm) @ MDC Eduardo J. Padrón Campus Liberty City - July 24th-28th (8:30am-4pm) @ MDC Carrie P. Meek Entrepreneurial Education Center Parent/Guardian Information Name *
First Last Home Address *
This address should be the student's primary address.
Parent/Guardian Primary Language * Hidden What is your annual household income? *
Less than $20,000 per year
$20,000-$40,000 per year
$40,000-60,000 per year
$60,000-80,000 per year
$80,000-$100,000 per year
$100,000-$150,000 per year
$150,000+ per year Hidden Does your child qualify for free or reduced lunch? * Student Information Student Name *
First Last Student Grade *
This camp is only open to students in rising grades 6-9.
**Select below** Rising 6th grader Rising 7th grader Rising 8th grader Rising 9th grader Is student's school a Title I school? * Student Gender *
This camp is only open to students who are female identifying or gender non-binary.
**Select below** Female Transgender Female Non-binary Prefer to Self-Describe Student Race/Ethnicity? *
Select all that apply.
Student's Coding Experience (optional)
Check all languages below with which you have some experience. (No prior experience is required.)
Student t-shirt size * **Select below** Youth Medium Youth Large Youth X-Large Adult Small Adult Medium Adult Large Adult X-Large Allergies and Dietary Restrictions *
We want to ensure the safety and well-being of all our camp participants. As breakfast and lunch will be provided during the camp, it is crucial for us to be aware of any food allergies, dietary restrictions, or special requirements your child may have. Does your child have any allergies/dietary restrictions we should be aware of?
Does your child have any food allergies or sensitivities? If yes, please list them below and specify the severity of the reaction (mild, moderate, severe) and any relevant symptoms. * Does your child require an EpiPen or any other emergency medication for their allergies? If yes, please specify. * Does your child have any dietary restrictions or preferences (e.g., vegetarian, vegan, gluten-free, lactose intolerant, religious restrictions)? If yes, please specify. * Are there any additional precautions or information we should be aware of regarding your child's allergies or dietary needs? Please provide details. * Additional Terms and Feedback Media Release *
By attending the Code/Art Camp, I authorize Code/Art Inc. to film and/or photograph my child and any projects created by them during their time in the program.
Attendance Requirement *
I agree to ensure that my child attends all five (5) days of camp and finishes all projects in order to receive her certificate of completion at the end of the week. I understand that I must notify Code/Art if there is an emergency requiring my child to miss part of camp. If my child has an unexcused absence, Code/Art reserves the right to give my child's spot to another student from the waiting list.
Hidden Applicant is a City of Miami Resident * How did you hear about this program? * **Select below** Code/Art Email Social Media A Friend/Word of Mouth A Teacher Community Center Other