Hackton@Nazareth

This event is for developers, software engineers, CS students, hackers and graphic designers.
A decent level of coding ability is required. See the site for more information.

* This event is with limited seats available, please make sure you fill in all required information accurately and submit the form.

Full Name

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Gmail Address

why? in order to add you to G+ event invite and add you to the event circle for updates

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Mobile Phone Number

05X-XXXXXXX

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I am currently study at

Enter the University name

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I am currently working at

Please enter the name of the company you are working at

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Skills and Experience

scale of 1-5: 1 is none, 5 is expert

	1	2	3	4	5
HTML5/CSS
JavaScript
Graphic Designer
JAVA
Objective C
Ruby
Python
Andriod
NET.

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Website/blog

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Google+, Facebook, Linked or Twitter URL

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Do you want to invite your friends to join?

please enter up to 3 friends names and emails (one pair per line)

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Which area are you from?

We collecting information to maybe arrange transportation to the event.

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Sleeping accommodations:

No thank you, I will manage by myself.
I would like to hear more on sleeping accommodations.

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Dietary needs or allergies

If you have any, please write your needs. we will make efforts to accomodate them

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T-Shirt Size

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May we contact you in the future for other technology cool events?

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By submitting this form I authorize the event organizers or anyone acting on their behalf to contact me and use the details above for confirming my participation and to plan the event

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