Code Your Dreams Program-Registration Form
Please fill out this form if you're interested in signing up for any of our programs!
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Email *
Which program(s) would you like to apply for?
Student's First and Last
Student's Age
Student's Grade
Student's Email
Emergency Contact (First and last name of a parent/guardian)
Emergency Phone Number (# of parent or guardian)
Emergency Email (Email of a parent/guardian)
What high school do you attend?
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