January 2020 Workshop Registration Form
JANUARY WORKSHOP: A Poet in Everyone
Sunday, January 11, 2020 > 1:00-3:00 PM
All ages welcome; students 12 and under must be accompanied by an adult

$25 per student + $10 materials fee payable to instructor at class

INSTRUCTIONS:
1. Click 'Online Payment' button on the left to open the payment window
2. Fill out registration form (please fill out one registration form for each student)
2. Open the payment window & submit payment (if paying by check, please mail check to PO Box 559, Grayslake IL 60030)

Questions on registration, payment, or cancellations, please email GrayslakeArtsAlliance@gmail.com
Student Name *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Age (students 12 and under must be accompanied by an adult) *
Your answer
I will be paying by: *
I understand that my registration is not complete until payment is received at least one week in advance of the workshop date.
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Required
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