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First Name:
Last Name:
City:
State / Province:
Country:
Student Affiliation:
Self identified minority group you represent:
Gender:
Male
Female
Prefer not to specify
Age range:
0-24
25-64
65-74
75+
Email Address:
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International Reality Virtually Hackathon Participant Registration
Registration must be accompanied with a signed domestic scholarship
Email address (Should be same as the applciation email)
First Name
Last Name
Residential Address
Street
City
State/County/Province
Postal Code
Country
Mobile number (Available during the hackathon)
What equipment will you bring?
Special Dietary needs
-
None
Gluten Free
Lactose Intolerant
Vegetarian
Vegan
GitHub email or username
Do you require an invitation letter to obtain a visa?
-
Yes
No
Are you local or booking a room that you would share with another hacker?
-
Yes
No
Would childcare enable you to attend the hackathon?
-
Yes
No
Mandatory: Upload Release
You must complete and sign the
Reality Virtually Hackathon Release to complete your registration and to participate in the hackathon
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Thank you for your submission!
We'll keep you posted
