Name
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First Name
Last Name
Address
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Street Address
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Email
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example@example.com
School Name:
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School Address:
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Grade Level(s):
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Subject(s):
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Emergency Contact Information for in person event:
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Confirm participation of in-person training:
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Please Select
January 14th - Bethesda, MD
Select one in-person training
Level of CS knowledge:
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Please Select
Beginner: No Prior Knowledge
Some Knowledge
Intermediate
Are you LatinX?
Yes
No
Describe why you would like to participate in this opportunity (100 wordsor less):
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