Workshop

MAXI BLISS STUDIO

REGISTRATION FORM
Participant's Name

First NameLast Name
Address

Street Address

Street Address Line 2

City

Postal / Zip Code
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Allergies (If applicable)
Emergency Contact
Name

First NameLast Name
Relationship
Mobile
Email
example@example.com
Address (skip if same as Registrant's)

Street Address

Street Address Line 2

CityState / Province

Post Code
Participant's Acknowledgement and Agreement of Risk

By submitting this registration form, I confirm that:

I understand that sewing activities involve the use of equipment such as sewing machine, pins, scisscors and other tools, which carry a small risk of accidental injury.

I understand that Maxi Bliss Studio will take all reasonable steps to provide a safe learning environment during classes, and I agree that my child will follow tutor's instructions and safety rules at all times.

I give permission for Maxi Bliss Studio to administer basic first aid if necessary
Signature
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