Child Workshop Registration
Child Information
Full Name
Date of Birth
Gender
Female
Male
Non-binary
Other
Primary Language Spoken
Parent/Guardian Information
Full Name
Relationship to Child
Phone Number
Email
Address
Emergency Contact
Name
Phone
Relationship to Child
Workshop Selection
Choose Workshop
Art & Crafts
Science Exploration
Music & Movement
Early Literacy
Additional Notes
Allergies, Special Needs, or Other Information