Workshop

Bold fields are required.

Check the weekend bulletin or call 496-5096 for exact times.

Class Date	Be sure you are picking the correct class! All classes use this same form -
Name:
Address:
City, State Zip:
Home phone:
Cell Phone:
Email address:

# of adults attending:

Names of adults
Adult 1:

Adult 2:

Adult 3:

Adult 4:

# of children for childcare:

Names of children
Child 1:
Birthdate:

Child 2:
Birthdate:

Child 3:
Birthdate:

Child 4:
Birthdate:

Comments/questions: