Rat Hacks Registration
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Your Information
First Name:
Last Name:
School Division:
Select your school division
Roanoke Valley Govenor's School
Bedford County
Botetourt County
Craig County
Floyd County
Franklin County
Roanoke City
Roanoke County
Salem City
Other
Grade Level:
Select your grade
9th Grade
10th Grade
11th Grade
12th Grade
Skill Level:
Select your skill level
Beginner
Intermediate
Advanced
Email (Please use a personal email):
Confirm Email:
Do you need to borrow a laptop?
Select an option
Yes
No
Do you want to work in a team?
Select an option
Yes, please select a team for me
Yes, I already have a team
No
Please enter the names of the people you would like to work with:
Have you attended a hackathon before?
Select an option
Yes
No
Questions/Comments:
Dietary Restrictions/Allergies:
Special Needs/Health Issues:
Parent/Guardian Information
First name:
Last name:
Email:
Confirm Email:
Phone Number:
Confirm Phone Number:
Emergency Contact
This is in case your parent/gaurdian is unreachable, so please use someone differnet than above.
First name:
Last name:
Phone Number:
Confirm Phone Number:
Relationship: