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  • Registratin Form

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    The document is a registration form for Ms. Netty's Creative Heart workshop. It requests the child's name, age/grade, parent contact information, emergency contact details, preferred day of attendance, medical information, photo permission, and parent signature. Payments must be received before the first workshop date. The form needs to be printed, signed, and emailed or mailed to the provided contact information.

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    The document is a registration form for Ms. Netty's Creative Heart workshop. It requests the child's name, age/grade, parent contact information, emergency contact details, preferred day of attendance, medical information, photo permission, and parent signature. Payments must be received before the first workshop date. The form needs to be printed, signed, and emailed or mailed to the provided contact information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    94 views2 pages

    Registratin Form

    Uploaded by

    api-349072501
    The document is a registration form for Ms. Netty's Creative Heart workshop. It requests the child's name, age/grade, parent contact information, emergency contact details, preferred day of attendance, medical information, photo permission, and parent signature. Payments must be received before the first workshop date. The form needs to be printed, signed, and emailed or mailed to the provided contact information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Ms.

    Nettys Creative HeArT Registration


    Form
    Child Name _____________________________

    Child Age/Grade ___________

    Parent Name_____________________________________

    Parent Phone Number________________

    Parent Email__________________________________

    Emergency Contact_____________________

    Emergency Contact Phone Number __________________

    What day would you prefer your child to attend this workshop? (please circle one)
    *Time to be determined based on season

    Monday Thursday Friday

    Please list any allergies or medical concerns I need to be aware of:

    Do I have permission to photograph and/or take videos of your child in the work process?
    These will be posted on either my workshop website, my Facebook page, or
    Instagram. Yes No

    Please Print and Sign your name below:

    Print Name:____________________________________________________

    Parent Signature:________________________________________________

    Please email to: msnettyscreativeheart@gmail.com

    If you would like to mail it along with your payment, please contact me at 845-283-2366
    for more information.

    ***Payments must be received before first workshop***

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