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CODEXCEL APPLICATION FORM

SUMMER 2025: JUNE 10 - JULY 31, 2025

$200 REGISTRATION FEE

TO BE CONSIDERED FOR THE CODEXCEl TRAINING, YOU MUST SUBMIT THIS APPLICATION form and payment of the $125 CAMP AND material fee.

PHOTOGRAPHY AND VIDEO WAIVER (Please read)

upon SUBMITTING YOUR APPLICATION OR ATTENDING A CODEXCEL EVENT, you hereby grant permission to VICTORY VILLAGE CORP AND ITS PARTNERS to use photographs and/or video of THE APPLICANT, THEIR INVITEES, FAMILY, FRIENDS, OR PARTICIPANTS taken on ALL DATES IN 2022-2024 at ALL LOCATIONS in publications, news releases, online, and in other communications related to the mission of VICTORY VILLAGE CORP. Thank you!

CODEXCEL PREP and plus Courses (FOR GRADES 7 - 11)
associate tech Instructors and industry apprentices (FOR GRADE 12)
mentor, volunteer, or trainer

First Name

Applicant Classification

GENDER IDENTIFICATION (FOR DIVERSITY)

CURRENT SCHOOL NAME OR ORG

Last Name

Applicant's Phone

PRIMARY Email

Parent/Guardian's Name & pHONE

Extracurricular Activities (for scheduling purposes)

none

football/basketball

volleyball/soccer/baseball

band

drama/art club (afterschool)

advanced placement (ap) or dual credit

afterschool technical program

other afterschool activity

special olympics

Disability (FOR MINOR ACCOMMODATION)

none

dyslexia/dysgraphia/dyscalculia

physical disability (needs minor movement assistance)

other (please specify by email before registration)

Email: contact@vvcorp.org ©2024 by VICTORY VILLAGE CORP

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