Hackathon Registration Form

Hackathon Registration Form
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number

Country Code
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Institution/Company
Role/Position
Skills/Expertise
Team Name
Number of Team Members
Have you participated in a hackathon before?
Describe your project idea and area of interest for the hackathon
Any additional Comments or things you would like the Hackathon team to know
Consent and Agreement

Code of Conduct Agreement: I have read and agree to abide by the hackathon's code of conduct.
Photo/Video Release: I consent to the use of my photos/videos taken during the event for promotional purposes.
Liability Waiver: I understand and accept the risks associated with participating in the hackathon and release the organizers from any liability
Date signed

MonthDayYear
Date
Should be Empty: