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THE ART OF ME Workshop Registration Form
Please fill out the form below to register for this PILLAR workshop. Ensure all required fields are completed.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select Session to Attend
*
Please Select
July 14-17 Workshop
July 21-24 Workshop
There are 2 (4-day) sessions in different weeks.
Number of Guests (including yourself)
Age(s)
For multiple, enter ages separated by commas.
Special Requirements or Accommodations
My Products
*
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Standard Registration
Access to all sessions and events.
$185.00
$
185.00
Quantity
1
2
3
4
5
6
7
8
9
10
Name of Person with permission to Pick-up your child
Drop-off Time: 8:45 am / Pick-up Time: 1:45-2:00 pm
Additional Comments or Questions
Please read PILLAR's Waiver of Responsibility & Consent Form below. Parent/Guardian must be present on first day to sign this form before child can participate.
Payment Methods
Choose from one of the PayPal options to
make your payment.
Register Now
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