Friday Night Out - join the guest list! (12 questions)
Knowing how many guests to expect helps us to have enough supplies for everyone.
Pick all that apply (Fridays, 6-8pm): *
Student's Name *
Your answer
Registered by *
your name or organization's name
Your answer
Your phone number & e-mail address *
Who should we contact if we have a question about this registration?
Your answer
Emergency contact *
Your answer
Are there any special accommodations that the student will require?
Your answer
Please let us know if there is anything you would like Tracy to know about beforehand.
Your answer
Payment Options
A $5 cover charge helps us to pay for some supplies.
your billing e-mail address (required if paying by PayPal)
Your answer
May we take a photo of the student during class?
I hereby grant to you, St. Lawrence County Arts Council, the right to use my image and voice for the purpose of promotional materials, broadcast, education workshops, program promotion and media releases. It is also understood that any such materials (video, film, audio, and any other media) will be used with the highest integrity and discretion, with the intent to communicate responsibly and ethically, the subject matter contained therein.
How did you hear about this event?
Comments or Questions?
Your answer
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