Workshop Registration Form
Artist's Name
*
First Name
Last Name
2nd Artist Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Choose your Workshop
*
prev
next
( X )
Winter Workshop Age 5
Saturday January 11th - February 15th 11am (1 hour)
$
99.95
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Delivery Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
Please verify that you are human
*
Would you like to receive the Art with Jada Newsletter?
Yes
No
Submit
Should be Empty: