Volunteer Registration for HowGirlsCode School Year Programs

Thank you for your interest in volunteering with HowGirlsCode's school year programs. This registration form is for volunteers who are under 18 years of age.

Please download, print, and carefully read the HowGirlsCode Waiver and Hold Harmless Agreement prior to registering.

HowGirlsCode Waiver and Hold Harmless Agreement (pdf)

Volunteer Preference
Indicate what course/strand you would like to volunteer with. We will try our best to match your wishes with the openings but cannot guarantee you will get your first choice.
Select a Course *
Choose which course you want to volunteer with.
Please use this space if you have any other special requests. Also, please let us know what your experience is with coding, robotics, and/or yoga.
About You
Address *
Demographic Information
Grade *
Please select your grade level for the 2017-18 school year.
Please note that anyone who is 18 years or older must agree to a background check.
Ethnicity *
One of our goals is to ensure we are providing programming to a diverse group of girls and providing diversity with our instructors and volunteers. Please indicate your ethnicity.
About Primary Parent/Guardian
Primary Parent Name *
Primary Parent Name
If you are 18 years or older - enter your own information in this section and skip the Secondary Parent section.
Primary Home Phone *
Primary Home Phone
Primary Cell Phone *
Primary Cell Phone
About Secondary Parent/Guardian
Secondary Parent Name
Secondary Parent Name
Secondary Parent Cell Phone
Secondary Parent Cell Phone
Individual(s) Authorized for Pick-Up
Pick-Up Exemption *
This section does not apply to me because I am 18 years old or will be driving myself to and from camp.
Please provide the Name, E-Mail Address, and Telephone Number for all Individual(s) authorized to pick up your child. Do not include primary, secondary, or emergency pick-ups. For example, another parent with a child in the same camp, a babysitter, etc.
Emergency Contact Information
Please provide the name and contact information for someone we may call in the event of an emergency if the primary or secondary parent/guardian cannot be reached. All volunteers must complete this section - regardless of age.
Emergency Contact Name *
Emergency Contact Name
Please describe the relationship between the emergency contact and volunteer.
Emergency Contact Cell Phone *
Emergency Contact Cell Phone
Medical Information
Medical Concerns *
Do you have any limitations or medical conditions that could affect your participation in this camp?
Please explain if you answered yes above. Be sure to include asthma and allergy information.
Volunteer Consent Forms/Waivers
Photography/Media Release Form *
I grant to HowGirlsCode the right to take photographs of my child during their after-school programming. I authorize HowGirlsCode to copyright, use and publish the same in print and/or electronically. I agree that HowGirlsCode may use such photographs of my child with or without their name and for any lawful purpose, including for example such purposes as news articles, publicity, illustration, advertising, and Web content. Examples of how we use photography online and via twitter can be seen here: http://www.howgirlscode.com/news-and-updates/ .
Acceptance of Waiver and Hold Harmless Agreement *
I accept the Waiver and Hold Harmless Agreement.
Late Pick Up Policy *
Please read and accept our Late Pick Up Policy: Thank you in advance for ensuring that your child is picked up on time. In the event of excessive wait time for pick up, the following policies will apply: After one late pick up of 15 minutes or more, there is a $5.00 fee for the first 15 minutes, and $10 fee for the second 15 minutes and each succeeding 15 minute time segments. After 45 minutes, we will reach out to the emergency contacts to request pickup. After two late pick ups of 15 minutes, we will contact you to discuss terminating your child's participation in the course.
Volunteer References
Please provide us with one reference with an email address. Please also provide a phone number if you have one.
Reference 1 Name *
Reference 1 Name
Reference 1 Phone Number
Reference 1 Phone Number

Select the "Submit" button to complete the volunteer registration process.