CoderSpace School Clubs

Student Information

• Name
  First Last

• ZIP Code

• Phone Number
  ###-###-####

• Email

• Preferred Pronouns
  she/her/hers, he/him/his, they/them/their

• High School

  • South Shore College Prep
  • King College Prep
  • UChicago Charter School - Woodlawn
  • Urban Prep - Englewood
  • Kenwood Academy
  • Other School

• Bad News: We currently do not have a CoderSpace club at your school.

Good News: We'd like to work with you to start one!

Are you interested in launching a CoderSpace at your school?

• yes!

• no

• What school do you currently attend?

• Graduation Year

  • Class of 2019
  • Class of 2020
  • Class of 2021
  • Class of 2022

• How did you hear about CoderSpace?

Primary Family Contact

Please share the name and contact information for the adult member of your family who signs your permission forms.

• Name
  First Last
• Relationship
• Phone Number
  ###-###-####
• Email

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