Workshop and Event Registration This registration form is for Events! please make sure to fill out the form and submit it before you purchase a ticket. Parent 1 Name * First Name Last Name Parent's Phone Number * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 Name First Name Last Name Your Child's name * First Name Last Name Your Child's Date of Birth * MM DD YYYY Child 2 Name First Name Last Name Child 2 Date of Birth MM DD YYYY Does your child have allergies, special needs, or behavioral issues? * If so please tell us know what exactly. Emergency Contact Name * First Name Last Name Emergency Phone Number * (###) ### #### Agreement * I read and agree to 'The Basics' and the 'Terms and Conditions'. I understand that this is not a childcare program. I agree How did you hear about us? Workshop/Event name * Thank you! Now you’re good to go and ready to purchase a ticket. We’re excited to meet you soon!
