Summer Stages Enrollment Form

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Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
How did you hear about mainstages FUN-inars?

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How many participants are you registering for? (Price is per screen, but we want to get to know everyone who will be joining our FUN-inars!)*
Participant #1 Name & Birth Date*

Child's NameChild's Birth Date
Participant #2 Name & Birth Date

Child's NameChild's Birth Date
Participant #3 Name & Birth Date

Child's NameChild's Birth Date
Participant #4 Name & Birth Date

Child's NameChild's Birth Date
Participant #5 Name & Birth Date

Child's NameChild's Birth Date
Anything else we should know? Leave it here!

mainstages: LIVE! 7-Class Package$105.00

Wednesdays from 4-5 PM EST *NO CLASS 12/30*

mainstages: LIVE! 3-Class Package$45.00

Wednesdays from 4-5 PM EST *NO CLASS 12/30*

mainstages: LIVE! Drop-In Classes$18.00

Wednesdays from 4-5 PM EST

Enter coupon

Total $0.00

TERMS AND CONDITIONS

By pressing submit you acknowledge that there will be no refunds after the first class. You are agreeing to attend only the classes registered and paid for by submitting this form. You and/or your child agree to respect our community guidelines around respectful behavior on Zoom, as stated in the PDF you'll receive with your welcome email.
I agree that photo and/or video content may be used for promotional purposes
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