B.Well Holiday Family Fun Event Registration
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Children
Children's First Names
Pictures with Santa
Yes ($10)
No ($0)
Photo Time Slot
Gingerbread Man Decorating ($5 each)
Handprint Keepsake
Yes- One only ($10)
Yes- Two (or one larger canvas) ($15)
No- ($0)
Multi-Activity Discount (with 2+ activities)
Payment Total- (Add activities total, then subtract discount)
prev
next
( X )
USD
Description
Payment Methods
Debit or Credit Card
ACH Bank Transfer
Submit
Should be Empty: