October Recreation Registration

October Recreation Registration

Sign up for upcoming events and classes!
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have any allergies?
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

My Products

Zumba - October 1

6:00 pm - 7:00 pm

Self Pay Cost

$10.00 Quantity

Pacific Murals Project - October 6 & 13

6:00 pm - 7:00 pm

This event is free to attend. Please plan to attend both sessions.

Free Quantity

Noyes Arts Garage Class - October 7

6:00 pm - 7:00 pm

This event is free to attend. Class is limited to 15 people.

Free Quantity

Creepy Cooking: Graveyard Dirt Cups - October 14

6:00 pm - 7:30 pm

Self-Pay Cost

$15.00 Quantity

Creepy Cooking: Graveyard Dirt Cups - October 14

6:00 pm - 7:30 pm

Support Program Cost

For this option, you must arrange with your support coordinator in advance. Four respite units are needed for this activity.

$7.00 Quantity

Make Your Own Candy Jar - October 21

6:00 pm - 7:30 pm

Self Pay Cost

$18.00 Quantity

Make Your Own Candy Jar - October 21

6:00 pm - 7:30 pm

Support Program Cost

For this option, you must arrange with your support coordinator in advance. Four respite units are needed for this activity.

$9.00 Quantity

Zumba - October 22

Self Pay Cost

$10.00 Quantity

DIY Halloween Mugs - October 26

6:00 pm - 7:30 pm

Self Pay Cost

$12.00 Quantity

DIY Halloween Mugs - October 26

6:00 pm - 7:30 pm

Support Program Cost

For this option, you must arrange with your support coordinator in advance. Four respite units are needed for this activity.

$6.00 Quantity

BINGO @ The Arc - October 27

Self-Pay Cost

$5.00 Quantity

Total

Credit Card

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