Request edit access
December 2nd, GIFT making workshop
DECEMBER 2, 1-5 p.m. make Fizzy Bath Bombs, Decorated Candles, Home Made Knitting Needles, Journals with Decorated Covers. $25-$45 sliding scale. Scholarships avalable. Max 15 participants. Need 5 by November 24th for it to go.
Email address *
Your Name *
first and last name
Your answer
Your phone number *
Your answer
Your mailing address *
Your answer
Your location (for carpooling) *
for example: "north chatham" or "south durham" or "near chicken bridge" etc. If you don't want to car pool, just say that.
Your answer
How much can you pay? *
Fee is sliding scale $25- $45. If you need a SCHOLARSHIP, enter here what you CAN pay, even if it is $0.
Your answer
EMERGENCY CONTACT
please list the name, phone number and relationship: for example: Kate, 919-444-4444, sister
Your answer
Please list ALL medical information that would be useful to know in case of an emergency. Include allergies, medications currently taking, medical conditions, recent hospitalizations or surgeries, history of anaphylactic shock, etc.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service