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Code Quest Registration
Teacher/Coach Information
Full Legal Name is Required For All Entries
Teacher/Coach First Name * |
Teacher/Coach Last Name * |
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Teacher/Coach Preferred Email * |
Teacher/Coach Alternate Email Address |
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Teacher/Coach Preferred Phone * (best contact day of the event) US: (xxx-xxx-xxxx) – Intl: (xxxxxxxxxxxx) |
Teacher/Coach Alternate Phone US: (xxx-xxx-xxxx) – Intl: (xxxxxxxxxxxx) |
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Teacher/Coach Citizenship? |
Date of Birth * Click Icon Click Here to Clear Date |
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If Other Citizenship * |
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Do you require a 2nd chaperone teacher/coach to be present?
If you are required to have a second coach attend the competition for chaperone purposes, please select YES
Yes NoChaperone Teacher/Coach Information
Full Legal Name is Required For All Entries
Chaperone Teacher/Coach First Name * |
Chaperone Teacher/Coach Last Name * |
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Chaperone Teacher/Coach Preferred Email * |
Chaperone Teacher/Coach Alternate Email Address |
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Chap. Teach./Coach Pref. Phone * (best contact day of the event) US: (xxx-xxx-xxxx) – Intl: (xxxxxxxxxxxx) |
Chaperone Teacher/Coach Alternate Phone US: (xxx-xxx-xxxx) – Intl: (xxxxxxxxxxxx) |
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Chaperone Teacher/Coach Citizenship? * |
Date of Birth * Click Icon Click Here to Clear Date |
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If Other Citizenship * |
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Team Members
Full Legal Name is Required For All Entries
Team Member 1
Team Member 2
Team Member 3All Fields Are Required If Adding a Third Team Member
Alternate Team MemberThis team member may only attend and participate in lieu of another team member dropping out.All Fields Are Required If Adding an Alternate Team Member
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