Prodigy Hands Youth Braiding Class Registration Form

Youth Braiding Class Registration Form

Registration must be completed by a parent or legal guardian. Class date: Saturday, December 5, 2026, from 9:00 AM–2:00 PM. Registration fee: $100 per student. Registration is confirmed after successful payment and completion of all required information.
Student Information
First and Last Name

First NameLast Name
Students Age
Grade Level
Parent/Guardian Full Name

First NameLast Name
Parent/ Guardian Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Relationship to Student
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Relationship to Student
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Health & Safety Information
Does your child have any allergies or medical conditions we should be aware of during class?
Does your child require any accommodations or additional assistance to participate?
Parent/Guardian Consent & Authorization
I confirm that I am the parent or legal guardian of the student listed on this registration form. I give permission for my child to participate in the Prodigy Hands Academy Youth Braiding Class on December 5, 2026. I understand that my child will participate in hands-on braiding activities and agree to follow the academy's class policies and safety instructions.
I agree to the Parent/Guardian Consent & Authorization statement
Do you give Prodigy Hands Academy permission to photograph or video record your child during class for educational, promotional, website, and social media purposes?
How Did You Hear About Prodigy Hands Academy?
How did you hear about Prodigy Hands Academy?
Required Class Materials: Students must bring their own materials to class. Materials are not included in the $100 registratin fee. Please review the required supply list before completing payment. https://goto.walmart.com/m/7869160/1398372/16662?veh=aff&sourceid=imp_000011112222333344&sharedid=storefront_398374&u=https%3A%2F%2Fwww.walmart.com%2Fcreator%2Fcollections%3Fid%3D398374
Required Class Materials
Signature
Parent/guardian Signature

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Youth Braiding Class December 5, 2026

9:00am-2:00pm at Adams Butzel Complex $100 registration fee

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Youth Braiding Class Registration Form

Student Information

Emergency Contact Information

Student Health & Safety Information

Parent/Guardian Consent & Authorization

How Did You Hear About Prodigy Hands Academy?

Signature

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