Tampopo Kai Pop-Up Class Registration

Tampopo Kai Pop-Up Class Registration Form

2025
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Are you a JASC member?

Yes, I am a JASC memberNo, I am not a JASC Member
Please list names of all the children attending the class and their birthdays.
Please select which class(es) you will attend.

Oshogatsu - New Year's on Saturday, January 4, 4:30 pmSetsubun - Bean-throwing Festival on Saturday, January 25 t 4:30 pmWill attend both classes
Note on Class Fees
- One flat class fee for whole family
Members - Please select the class option you would like to register for:

Member - $20 - One class (code tkpuc1)Member - $40 - Two classes (code tkpuc2)Clear Selection
Non-Members - Please select the class option you would like to register for:

Non-Member - $25 - One class (code tkpuc1)Non-Member - $50 - Two classes (code tkpuc2)Clear Selection

Class Fees Total
Class Fee Sum Total
Your Class Fee Total

prevnext( X )
USDDescription
Please complete your registration by clicking on one of the payment buttons below. If you plan to pay by check or cash, please do not select one of the following payment methods and instead click the submit button below without selecting one of the payment methods of card or PayPal.

If you pay by a credit card or debit card, please click the submit button below after you enter your card information.

if you pay using a PayPal account, your form will automatically be submitted after you input your payment information.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Tampopo Kai Pop-Up Class Registration Form