First Name

Last Name

Phone Number
Email Address

What School Do You Go To?
Birthdate
What Is The Name of Your Team? (4 Members Max) Each Team Member Must Apply Separately!

Gender
Ethnicity
Do You Have Any Dietary Restrictions
What T-shirt size will you need?

Why do you want to come to PCHacks 2019?

Current Level of Study
What year will you graduate
Current Major (If In University)
I agree to follow the MLH Code of Conduct during the PCHacks 2019 event.

I authorize you to share my application/registration information for event administration, ranking, MLH administration, pre- and post-event informational e-mails, and occasional messages about hackathon in-line with the MLH Privacy Policy. I further agree to the terms of both the MLH Contest Terms and Conditions and the MLH Privacy Policy.