Spring Workshop Registration

Parent 1 Name*

First NameLast Name

Parent 1 E-mail*

example@example.com

Parent 1 Phone Number*

Parent 2 Name*

First NameLast Name

Parent 2 E-mail*

example@example.com

Parent 2 Phone Number*

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Names and Ages of All Children Attending Workshops:*

Any allergies or Medical Conditions? (Please List Name of each child and allergy or Type NA if no allergies)*

Are you a Luminary Learning Center Family?*

YesNo

Choose your classes: (If choosing 4+ classes, use coupon code MORETHANFOUR to get 15% off. If choosing 8+ classes, use coupon code MORETHANEIGHT to get 25% off.) *

Digital Creativity: Creating Art with Adobe with Ms. Suzan

Starting Week of April 7th Class Time: Mondays 1-2 PM Ages: 9+ Requirements: Tablet with Pen, Adobe Fresco downloaded (free)

$75.00 Quantity

Chess Club

Starting Week of April 7th Class Time: Wednesday 2-3 PM Ages: 8-14 Bring your chess set if you have it!

$75.00 Quantity

Intro to Arabic Calligraphy: The Beauty of the Written Word with Ms. Suzan

Starting Week of April 7th Class Time: Mondays 2-3PM Ages: 9+

$75.00 Quantity

Physical Education is Fun with Coach Amnah

Starting Week of April 7th Class Time: Tuesdays 2-3 PM Ages: 9-14 Requirements: Activewear and Sneakers

$75.00 Quantity

Entrepreneurship with Ms. Aya

Starting Week of April 7th Class Time: Tuesdays 1-2 PM Ages: 10+ Requirements: Personal Device

$75.00 Quantity

Acrylic Adventures: Exploring Color & Creativity with Ms. Suzan

Starting Week of April 7th Class Time: Wednesdays 1-2 PM Ages: 6+ Requirements: Smock or oversized paint shirt

$75.00 Quantity

Beginner Sewing with Ms. Hasna

Starting Week of April 7th Class Time: Wednesdays 1-2 PM Ages: 6+

$75.00 Quantity

Soccer Drills with Coach Mohamed

Starting Week of April 7th Class Time: Mondays 12:00-1:00 PM Ages: 6-10 Requirements: Activewear and Sneakers

$75.00 Quantity

Crochet with Ms. Heur

Starting Week of April 7th Class Time: Wednesday 2-3 PM Ages: 9+

$75.00 Quantity

Young Scientists with Ms Lina

Starting Week of April 7th Class Time: Thursdays 2-3 PM Ages: all

$75.00 Quantity

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Subtotal

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Tax

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Total

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Payment Methods

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If you chose classes for multiple children, tell us below which child for which class (if only one child, type NA): *