Short Course Booking Form


Your Details

As the representative of the school, please provide your details.
Please provide the full name of the teacher or staff member booking this course
Please provide your email address so that we can email you confirmation that the booking has been recieved

Students Details

Course & Booking Details

What course would you like to book your student on?
Course *
ICE - Cyber Security *
ICE - Cloud Technologies *
CODE - Programming *
CODE - Games *

Other Information

Does your student live with the effects of a significant injury, long term illness, or physical / mental challenge that may affect your time here at Techtorium? The information you supply is confidential. This may include: Depression, anxiety, bi-polar, ADHD, ADD, Asperger’s, diabetes, dyslexia, hearing/sight impairment, epilepsy etc. If yes, please give us as much information as you can so we can assist when needed to support your students success.
Please state the injury, long-term illness, or physical or mental challenge that would affect your student's time at Techtorium