Holiday Cookie Making Party
Email address *
Child's Info
Please tell us a little bit about your child.
Child's Name - First and Last *
Your answer
Child's Age *
Your answer
Special Concerns - Please list any special concerns you have regarding your child's camp participation (e.g. diet restrictions, allergies/sensitivities, educational needs) *
Your answer
Parent's Info
Please provide information on how we may contact you.
Parent's Name - First and Last Name of Parent / Legal Guardian *
Your answer
Parent's Phone Number (Primary Contact) *
Your answer
Email Address (Primary Contact) *
Your answer
2nd Parent's Name - First and Last Name of 2nd Parent / Secondary Contact *
Your answer
Phone Number (Secondary Contact) *
Your answer
Street Address *
Your answer
Apt #
Your answer
City *
Your answer
As the child's parent or legal guardian, do we have your permission to take photographs during class that may include your child? Rebus Works will use images from the classes to promote future classes on its website and in social media. *
Emergency Contact Information
Name | Emergency Contact *
Your answer
Phone Number | Emergency Contact *
Your answer
Camp Courses: Please indicate which camp(s) your child will attend.
Holiday Cookiemaking Party

Saturday, December 15th 2-6pm $45
Friday, December 21st 2-6pm $45

Ages 6 and up

Saturday, December 15th - Instructor: Kristin DeBockler
Friday, December 21st - Instructor: Melissa Munson

Which camp would you like to sign up for? *
You can pay online by clicking the link below or send a check. Please let us know what you prefer. *
Would You Like to Join Our Mailing Lists?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service