Beta Builders Virtual Class Sign Up
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Email *
Student's Full Name *
Age
*
Gender *
Address *
Student Email Address(if applicable) *
Current School
*
Grade/Year *
Does your child know anyone in the tech field?
*
Has your child participated in any coding or technology-related programs before?
*
Has your child ever encountered these languages before?
*
Required
Why are you interested in participating in our program?
*
How did you hear about our program? *
Parent/Guardian Name *
Parent/Guardian Relationship *
Parent/Guardian Phone Number *
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