Teen Tales Spring 2021 Enrollment
Dates
Sessions are March 30th to June 1st Tuesdays 6:30 pm to 8:30 pm and Thursdays 6:30 pm to 8:30 pm Air Date: June 26th and 27th
Student Name
*
First Name
Last Name
Preferred Pronouns
*
Birthdate
*
-
Month
-
Day
Year
Birthdate
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Accommodations: Please let us know if any accommodations are needed
Tell us about your past involvement with Tellin' Tales
How did you hear about Teen Tales?
Parent or Guardian Information
(If under 18)
Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone
Please enter a valid phone number.
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Teen Tales Enrollment
$
150.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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