PayJunction Workshop Registration Form

Class Registration Form

Please fill in the form below
Parent Name*

First NameLast Name
Phone*
E-mail*
example@example.com
Student*

First NameLast Name
Which class(es) are you signing up for? (check all that apply)

BroadcastingCreative WritingFantasy Sports LabVideo Editing
Grade*
What is your student most interested in learning in class?
Do you have equipment you would like to donate to the broadcasting program? (e.g. old iPhones, GoPros, DSLR cameras, tripods, Apple computers, etc.)
Share A Family Picture!

Cancelof
Should be Empty:

Class Registration Form