Course Registration Form

Crochet Workshop for Youth 13+ Registration Form

Fill out the form carefully for registration
Thank you for your interest in attending our Crochet Workshops for Youth 13+! We are excited to share the amazing art of crocheting with youth in our community. The workshops will be held August 2nd and 3rd from 12-2 pm and August 9th and 11th from 1-3 p.m. Location details will be emailed once we are closer to the workshop dates. The workshops will be held in English and Spanish. Food and snacks will be provided. Space is limited and participants will be accepted on a first-come, first-serve basis. Register as soon as possible to reserve your spot. We will also accept a few people to be placed on our waitlist and will notify them if anyone in the group is unable to make it.
Youth Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Pronouns
Ex: she/her/hers, he/him/his, they/them
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Youth E-mail
example@example.com
Youth Mobile Number
Parent E-mail
example@example.com
Parent Number
Information about the Youth Participant
Race or Ethnicity

Black or African AmericanIndigenous / NativeAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderLatine/Latinx/Latino/Latina/HispanicAsianWhite or CaucasianOther
Other Identities of the Participant (check all that apply)

Asylum SeekerRecently Immigrated to U.S. (less than a year)LGBTQ+Person with a disabilityOther
Food and snacks will be provided at each workshop. Does the participant have any dietary restrictions or allergies?
We will do our best to make accommodations necessary for our participants to have a pleasant experience with us. Does your participant need any other accommodations?
Do you have any additional comments or concerns?
Should be Empty:

Crochet Workshop for Youth 13+ Registration Form

Information about the Youth Participant