Registration HACK@CODE (MOE Teams) November 2021 *Please submit another form if you are registering more than 6 teams. Adult / Teacher / Coach *SalutationMrMsMdmMrsName *FirstLastYour Email *PhoneSchool *Address *Address Line 1CityState / Province / RegionSchool *Number of Teams *123456Team 1: Name *Team 1: Member 1 *Date of Birth (Member 1) *Team 1: Member 2Date of Birth (Member 2) *Team 1: Member 3Date of Birth (Member 3) *Team 2: Name *Team 2: Member 1 *Date of Birth (Member 1) *Team 2: Member 2Date of Birth (Member 2)Team 2: Member 3Date of Birth (Member 3)Team 3: Name *Team 3: Member 1 *Date of Birth (Member 1) *Team 3: Member 2Date of Birth (Member 2)Team 3: Member 3Date of Birth (Member 3)Team 4: Name *Team 4: Member 1 *Date of Birth (Member 1) *Team 4: Member 2Date of Birth (Member 2) *Team 4: Member 3Date of Birth (Member 3) *Team 5: Name *Team 5: Member 1 *Date of Birth (Member 1) *Team 5: Member 2Date of Birth (Member 2) *Team 5: Member 3Date of Birth (Member 3) *Team 6: Name *Team 6: Member 1 *Date of Birth (Member 1) *Team 6: Member 2Date of Birth (Member 2) *Team 6: Member 3Date of Birth (Member 3) *If Any Member Done Coding BeforeYesNoHow did you learn about HACK@CODE? *Tribal StudiozCode.JAMFacebookInstagramFamily/FriendsOthersOthers: *HACK@CODE (MOE) 1 TeamPrice: $ 30.00Payment will be arranged via e-invoice. We will notify you via email.HACK@CODE (MOE) 2 TeamsPrice: $ 60.00Payment will be arranged via e-invoice. We will notify you via email.HACK@CODE (MOE) 3 TeamsPrice: $ 90.00Payment will be arranged via e-invoice. We will notify you via email.HACK@CODE (MOE) 4 TeamsPrice: $ 120.00Payment will be arranged via e-invoice. We will notify you via email.HACK@CODE (MOE) 5 TeamsPrice: $ 150.00Payment will be arranged via e-invoice. We will notify you via email.HACK@CODE (MOE) 6 TeamsPrice: $ 180.00Payment will be arranged via e-invoice. We will notify you via email.PhoneSubmit