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* 1. What are your child's full name and preferred pronoun (name, pronouns)?

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* 2. What is your child's birthday?

Date

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* 3. What grade and school is your child enrolled in during the 2019-2020 school year?

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* 4. Who are you?

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* 5. Emergency Contact Information

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* 6. Does your child have any allergies or dietary restrictions?

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* 7. Why are you interested in joining Girls Code Lincoln?

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* 8. Have you ever coded or worked with tech before? Please explain

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* 9. How did you hear about us?

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* 10. Anything else you'd like us to know?

0 of 10 answered
 

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