About the Administrator Completing this Form

If we have additional questions, we want to make sure we know who to contact!  This year you will upload the completed PDF form with your enrollments directly to this form. 

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* Please enter your contact information below. This should be the name of the person who is completing this form.

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* You will receive an invoice via email when your enrollment is complete. The invoice will include information on how to directly pay the EduCode host chapter. Do you need to include a Purchase Order number? If so, please include it below.

Once you have downloaded the file, you must save it locally! Be sure to note the location you save the file to as well as the file name.  Open and complete the file using Adobe Acrobat, then Save the completed file.  This is the file you will upload.

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* Upload the completed EduCode Group Enrollment Form Here

PDF file types only.
Choose File