Girls Who Code 2020-2021
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Student First Name *
Student Last Name *
School *
Grade *
Did you participate last year? *
Student T-Shirt Size (adult) *
Student LVJUSD email address *
Please list any allergies or medical concerns. Write "none" if there are no concerns. *
Parent or guardian full name *
Parent or guardian daytime phone number *
Parent or guardian email. Club updates, possible field trip information, and news of other opportunities will be sent to this email. *
Optional second email address *
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. *
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. *
Date *
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DD
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YYYY
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