Request edit access
Sew & Slither: Sock Snake Workshop - Paragould
Please complete this form to begin your registration. 

Registration is only complete once payment of $30 is received in full.  Payments must be made in person or by credit card.  Payments cannot be made online.  

Payments by credit card may be submitted by phone at (870) 913-9611 (Paragould)

Registration deadline is Tuesday, July 16, 2025

Class: Monday, July 21, 2025 - 2:00-4:00 pm

Email *
Child's Age and Name: *
First Name (Parent) *
Middle Name *
Last Name *
Mailing Address  
(Example: 1234 Test Way)
*
Mailing Address 
(Example: Pocahontas, AR 72455)
*
Date of Birth *
MM
/
DD
/
YYYY
Sex: *
Phone Number (Ex: (555-555-5555) *
Email Address *
How did you hear about this class? *
Cancellation Policy:  Refunds cannot be made unless registration is canceled two days before the class date.  

Disclaimer:  By registering for this class, you acknowledge that photographs and videos may be taken during participation, and they may be used in BRTC publications as well as area media.  
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Black River Technical College.

Does this form look suspicious? Report