VIRTUAL SUMMER BREAK ADVENTURES 2024
Registration and Contact Information
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Email *
Today's Date *
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Virtual Summer Break Adventure 2024 with Space & Grace Learning
Child's Full Name, BIRTHDATE and AGE *
If registering for more than one child, list full name and age for each child.
Primary Contact:Parent/Guardian Name and Phone numbers and email address. *
This person will be contacted first for any questions or needs. Please list full name and any phone numbers that would be helpful.  Label the phones please (cell) (home) (work)
Street Address, City, State, Zip Code
Choose Your Adventures *
Check all that apply.  Zoom link will be sent one week before your session begins.
Required
WHAT TO BRING EACH DAY
Please have all supplies ready for our first session together.  This list will be updated and emailed to you by June 24th.
Please bring these items.
PERMISSIONS
I give my permission for photos or videos of my child to be posted to Space & Grace Learning Website and other forms of advertising such as Social Media and Print Brochures. *
METHODS OF PAYMENT and Cancelation Policy

Three Methods of Payment available:

Venmo@spaceandgracelearning@gmail.com

Go to VENMO

Zelle@spaceandgracelearning@gmail.com

Personal check to Mary Jo AbiNader

3128 SE Salmon Street  Portland, OR 97214

Space & Grace Learning

School Break Adventures Cancellation Policy

Please reserve your spot with full payment.  Advanced notice of cancellation is required for a refund.  Full refund issued if cancelling more than  two weeks before your Adventure. No refund available if cancelling less than two weeks before your Adventures.

After your registration form is received, you will receive an invoice. How would you like to pay? *
Comments or Questions
Please feel free to call or message if any other questions come up after you send in this form. 503-467-8935 Mary Jo AbiNader
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