Messy Makers Registration: Spring Semester 2026
Customer Details:
Name of Parent/Guardian
*
First Name
Last Name
Your City
Please Select
Alameda
Berkeley
Oakland
San Leandro
Other
If you selected "Other" please write your city below
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Name of Caregiver Attending Class (if different from parent)
First Name
Last Name
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Class Selection
Select the class you would like to register for:
Tuesdays 10:00 AM-10:45 AM
Wednesdays 10:00 AM-10:45 AM
Thursdays 4:00 PM-4:45 PM
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Child Information
Classes are $120/month-to-month, or $100/month with a 3-month commitment. Siblings receive 10% off
How many children would you like to register for the Semester?
1
2
3
Child's Name
*
First Name
Last Name
Child's Birthdate
*
-
Month
-
Day
Year
Date
Click Here to Register Additional Children
Second Child's Name
First Name
Last Name
Second Child's Birthdate
-
Month
-
Day
Year
Date
Third Child's Name
First Name
Last Name
Third Child's Birthdate
-
Month
-
Day
Year
Date
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How did you hear about us?
Please Select
Friend
Internet
Flyer
Google Search
Other
If Other, Please Specify
If you referred by someone, please give us their name so we can thank them:
Rows
Full Name
1
2
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Payment Plan
(Classes are $120/month-to-month, or $100/month with a 3-month commitment. Siblings receive 10% off.)
Which Payment Plan do you choose
*
Month-to-Month
3 Month Commitment
Monthly Price ($)
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Waivers
PHOTOS: Messy Makers posts photos and videos of children participating in its classes on our facebook page, Instagram page, website and for occasional promo material. These photographs are for the sole purpose of showing examples of class activity. Photographs will not be distributed in any other manner or used to exploit any child. Please note that names of children will not be posted, only photos. Please choose one:
*
Yes, I give permission for Messy Makers to post photos or videos of my child participating in class activities.
No I do not give permission for Messy Makers to post photos or videos of my child participating in class activities.
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Deposit Payment
*
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( X )
Spring Semester Deposit
This non-refundable deposit will be subtracted from your first monthly payment.
$25.00
$
25.00
Credit Card
Submit
Should be Empty: