Code4Gold Coach Registration

Code4Gold Coach Registration Form

Use this form to register yourself as a Code4Gold Coach. You will receive the Coach's manual which includes lesson plans and anwer keys for the BrainSTEM coding lessons.

Coach Information

Name *

First

Last

Email *

Phone

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of School/Organization *

If homeschool, type "homeschool"

plan do School/Organization

Location (City, State) *

Your Role *

Teacher, Tech Center Coordinator, etc.

How many students do you plan to coach? *

Any Questions or Concerns?