Coding For Youth Course Registration
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School / Youth Center *
Select the youth center where the participant is registering to take this course.
Event *
Say: "So, which of our services are you most interested in today?"   Read from the list below.
Required
County *
Select the city where the participant is registering to take this course.
First Name *
Last Name *
Street Address *
City, State, ZIP *
Phone Number *
Email Address *
Promotional Source *
Select the type of platform used to initiate the sale.
Required
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