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This email address will be the account username used for logging in and account activation. The Parent Email will be the email used for any electronic correspondence with student users under the age of 13.

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Parent/Guardian Information

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Student Location*

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How long have you been coding?*

How did you learn to code? (check all that apply)*

Computer science class at school
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I've never coded before

Other way you learned to code:*

How did you learn about Code/Art? (check all that apply)*

Referred by someone
Received an email from Code/Art
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Another organization's email or post on social
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Who referred you*

(e.g., Mr. Garcia, art teacher at my school, or Ms. Smith, my Girl Scout troop leader)

Which organization emailed or posted on social about Code/Art?*

Other way you learned about Code/Art*

Have you participated in a Code/Art event or program before?*

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Which Code/Art event or program have you participated in?*

CodeHER Club
Code/Art Fest
Code/Art lesson at school
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What CodeHER Club have you participated in most recently?*

What other Code/Art event or program have you participated in?*

School Information

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What subject do you teach?*

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Current Grade*

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Elementary School
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Middle School

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