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Hack Day Registration
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* Indicates required question
Name (First and Last)
*
Your answer
Grade
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Choose
6
7
8
9
10
11
12
School
*
Your answer
Phone Number
Your answer
Email
*
Your answer
Parent Phone Number
*
Your answer
Parent Email
*
Your answer
Please list any food allergies you have
*
Your answer
Please enter your shirt size
*
XS
S
M
L
XL
Please check that you understand that this is a 7 hour event
*
I understand
Required
Please check that you understand that food will be provided
*
I understand
Required
Please check that you understand you must bring your own laptop and charger, or else contact Jocelyn at
jocelyn.h.thai@gmail.com
by April 1st.
*
I understand
Required
Please check that you understand that any injury to yourself or your belongings is neither our responsibility nor the Pleasant Hill Library's responsibility
*
I understand
Required
For attendees over 18: I consent to be photographed at this event. For parents of attendees under 18: I allow my child to be photographed at this event
*
Yes
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Thank you for registering!
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