Workshop Registration Form
Registration due by - September 3, 2025
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a new or expecting parent / guardian ?
*
Baby on the way!
New baby has arrived and is under 6 months old
Neither of the options fit my family circumstances, but am interested in this class.
Which contact method for reminders, updates, or cancellation is preferred?
*
Email
Text
Phone Call
Will you have another parent/sibling/grandparent with you? No obligation, just inquiring for seating count
Yes
No
Do you plan to attend all 4 sessions? Sessions are to be held at the Brazil Public Library, on Sept 4, 11, 18, 25th from 6:00 -7:45pm
*
Yes
No
Submit
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