Girls Who Code at Binghamton University
Thank you for your interest in Girls Who Code Club at Binghamton University. This form confirms your official application for the Fall 2021 session, which will *tentatively* be held exclusively online as we wait to hear an update from the university about clubs in the fall.

We look forward to hearing from you!
Email *
Student Full Name (First and Last) *
Student email address *
Parent Full Name (First and Last) *
Parent email address *
Phone number (Parent) *
What grade are you in? *
Which class would you like to enroll in? *
Even though our classes are online, we don't want our girls to miss out on GWC swag! Please provide us with your address so that we can send you swag during the semester.
Street address (ex: 40 Blossom Road) *
City (ex: Albany) *
State (ex: New York) *
Zip Code (ex: 1204) *
What school do you attend? *
How did you hear about us? *
What is your adult unisex T-shirt size? *
Never submit passwords through Google Forms.
This form was created inside of Binghamton University.