MY-Hack Signup Form

MY-HACK SIGN-UP FORM!

Welcome! We’re so excited you're interested in competing/volunteering for our MY-Hack event! Please tell us about yourself and we'll contact you with more information. Thank you for registering/helping us out with our first ever Muslim Hackathon on Social Good! For question, please contact: My-hack@mafiq.org
NAME *

First Name Last Name
Enter and Verify your Email *
PHONE NUMBER *
Please enter a valid phone number.
In what capacity you would like to participate? *
What is your current education status? *
Select your terminal degree/Profession/position
Your grade in School/College? *
Select your terminal degree/Profession/position
What is your major? *
Select that matters you the most
Which school do/did you go to?
What is your t-shirt size? *
Select that works for you!
Is this your first Hackathon? *
Do you have a team ? *
Team Information

This is a team event and you are encouraged to form a team in advance. If not, we'll assign your teammates at the event. Please enter the names of your teammates, if any (excluding yourself), and their emails below. Each team member must register separately.
Teammate 1: First Name Last Name Email
Teammate 2: First Name Last Name Email
Teammate 3: First Name Last Name Email
Teammate 4: First Name Last Name Email
MY-HACK Registration Fee (Hackers only)

($20 per person; $50 - Team)
Registration details to be completed by parents/Legal Guardian (Choose from a list)

Paid by paypal at: http://www.mafiq.org/donation/ - select EPC tab and pay by paypal) Need Financial assistance (Please write a letter stating your need to MY-Hack@Mafiq.org, if you are requesting financial assistance) Will pay by the registration deadline (June 12, 2022)
I will at all times abide by and conform to the Major League Hacking Code of Conduct while at the event. *

I accept
Please verify that you are human *
Should be Empty:

MY-HACK SIGN-UP FORM!

Team Information