Course Registration and Payment

Student Registration Form

Please fill out the form carefully
Student Name*

First NameLast Name
Student E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Student Mailing Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
YESNO
If you are registering yourself and someone else, please provide the other student's NAME and EMAIL address:

First NameLast Name
example@example.com
Click on the box to choose an option. If you are registering for a workshop with a friend, or registering for multiple coaching sessions, please make sure to update the quantity as well. You may choose multiple options on the same form.
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One on One Coaching
2 hour coaching session.

$60.00 Quantity

9 x 9 in. Practice Quilts (set of 5)
These are very useful for the FMQ workshop, or for practice stitching at home. Sold in sets of 5. Each practice quilt is approximately 9 x 9 inches, made with cotton fabric on 2 sides and cotton batting in the middle. At least one fabric side is a solid color. Fabric colors and patterns will vary.

$10.00 Quantity

Total

$0.00
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Student Registration Form