Creativity in Action Workshop Registration
Participant's Full Name
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First Name
Last Name
Participant's Birthdate
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Month
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Day
Year
Date
Participant's Grade Level
*
Participant's School
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Parent or Guardian's Full Name
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First Name
Last Name
Parent or Guardian's Email Address
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example@example.com
Parent or Guardian's Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies, medical conditions, or special needs we should be aware of
How would you like to pay?
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Please send me a link to pay by September 30, 2026
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Creativity in Action
$540.00
$
540.00
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Payment Methods
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After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
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Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
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