“Cursive Legacy Writers” WOD

Women of Distinction, Incorporated

“Cursive Legacy Writers”
This is a ten (10) week course. Time: 10:00 am to 11:00 am.
The Dates are below.

IN PERSON ~ Saturdays: May 2nd, 16th, May 30th, June 13th , June 27th

VIRTUAL ~ Saturdays: May 9th, May 23rd, June 6th, June 20th

Awards Ceremony: Saturday, July 11th – 10:00 AM

Ages: Youth – female and males:
Ages 8 to 12 | ALL Children MUST BE Registered In Advance!
Participant Type (Select One)
Youth Information (Required for Ages 8 to 12)
Name

First NameLast Name
Age (Required)
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If youth does NOT have email and/or cell phone, please provide Parent/Guardian Information:
Parent/Guardian Name(s)

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Additional Youth Information
School Name
Grade Level
Hobbies/Interests (List 1–3):
Emergency Contact Information (Required)
Emergency Contact Name

First NameLast Name
Relationship to Participant
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent & Acknowledgment

I understand that this is a community-based event hosted by the Women of Distinction, Incorporated. I grant permission for participation and acknowledge that event organizers will take reasonable precautions to ensure safety. PARENTS MUST PICK THE CHILDREN UP AT 11:00 AM (NO EXCEPTIONS).
Participant/Parent/Guardian Signature
Date

MonthDayYear
Date
Should be Empty:

Women of Distinction, Incorporated

Youth Information (Required for Ages 8 to 12)