Parent(s) name(s)* :

Parent's Email Address *:

Telephone Number *:

* All communications from Build-It-Yourself are addressed to parents.

Advanced Builder's first name or nickname* :

Advanced Builder's Birthdate :

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Zip Code:
(to determine time zone for scheduling)

Discount or Source Code :
(If no code, how did you hear about Build-It-Yourself?)

Advanced Builder's E-mail Address (optional) :

What are your hobbies and favorite projects: My hobbies are...

Short description of what skills you want to develop: I want to learn...

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