Request edit access
October Children's Self Esteem Workshop
Workshop Date & Time: Sunday October 2, 2022, 11:00am-12:00pm EST
Registration Fee: $35
Workshop will be presented through Zoom
Contact us at 631.213.1236 or info@saadiazyunus.com
Sign in to Google to save your progress. Learn more
Name of Parent or Guardian *
Parent's Email Address *
Parent's Contact Number *
By selecting yes, you are confirming that you are 18 years or age or older and the parent or guardian of the child who will be attending this workshop. You agree to sign up for the workshop on their behalf. *
Required
Child's First Name *
Child's Age
*
Please choose a payment option:
*
Would you like to be added to the mailing list to receive announcements for future events?
*
By selecting Yes, you are agreeing that the registration fee is nonrefundable. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy