Class Registration Form

1

Name* This field is required

First Name

Last Name

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2

Are you over 14 years of age?* This field is required

YESNO

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3

Are you able to attend both days of the workshop?* This field is requiredThe workshop runs Friday, February 22nd from 9am - 4pm and Saturday, February 23rd from 9am - 4pm.

YESNO

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4

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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5

E-mail* This field is required

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6

Phone Number* This field is required

Area Code

Phone Number

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7

Emergency Contact * This field is requiredRequired for minors; just in case for adults!

First Name

Last Name

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8

Emergency contact phone* This field is requiredRequired for minors; just in case for adults!

Area Code

Phone Number

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9

GenderFemale, male, nonbinary, custom answer, etc. Demographic info is kept private.

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11

How did you discover this workshop?

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