Girls Who Code Registration Form
LVJUSD students are invited to participate in the after school program, Girls Who Code. Both boys and Girls are welcome to join. "Girls Who Code" is the name of a national program with the mission of closing the gender gap in technology. Volunteers from Lawerence Livermore National Laboratory work with teachers to bring computer coding skills and applications, career information, and camaraderie to this free after school class.

Classes meet once a week. The expected start time is at the end of September. An email will be sent with the exact start date.

We’re looking forward to an exciting program!

Student first name *
Your answer
Student last name *
Your answer
Student grade *
Student school *
Student t-shirt size (adult sizes) *
Student email address. Please use an email that you check frequently. Club updates, possible field trip information, and news of other opportunities will be sent to this email. *
Your answer
Please list any allergies or medical concerns. Write "none" if no concerns. *
Your answer
Parent or guardian full name *
Your answer
Parent or guardian daytime phone number *
Your answer
Parent or guardian email. Club updates, possible field trip information, and news of other opportunities will be sent to this email. *
Your answer
Optional second email address
Your answer
Student's signature. By joining the Girls Who Code (GWC) Club, you agree to: Be on time for meetings, attend meetings regularly, and be respectful to volunteers, advisors, other students, and classroom guests. Entering your name on this form indicates your are in agreement with the requirements of the club. *
Your answer
Date *
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Signature of parent or guardian. Entering your name on this form indicates you support your child's participation in the Girls Who Code club, and you will support their ability to meet the club expectations. *
Your answer
Date *
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What questions do you have?
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