Sign Up HACK@CODE (MOE)

Registration

November 2021

*Please submit another form if you are registering more than 6 teams.

Adult / Teacher / Coach *

Name *

First

Last

Your Email *

Phone

School *

Address *

Address Line 1

City

State / Province / Region

School *

Number of Teams *

Team 1: Name *

Team 1: Member 1 *

Date of Birth (Member 1) *

Team 1: Member 2

Date of Birth (Member 2) *

Team 1: Member 3

Date of Birth (Member 3) *

If Any Member Done Coding Before

How did you learn about HACK@CODE? *

Phone