Student Registration Form
Please fill out the following form before your first class!
Please email us at SewBeCrafty@gmail.com with questions.
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's Date of Birth (XX/XX/XXXX): *
Your answer
Street Address: *
Your answer
City/Town: *
Your answer
Postal/Zip Code: *
Your answer
Home Phone Number: *
Your answer
Cell Phone Number: *
Your answer
Email Address: *
Your answer
Parent/Guardian Name(s), Phone(s): *
Your answer
Emergency Contact Name(s), Phone(s): *
Your answer
Primary Care Physician Name, Phone: *
Your answer
Please list any Challenges, Allergies, Medical or Learning Disabilities, Parent Concerns, etc:
Your answer
I authorize the following person or persons only to pick up my child: *
Your answer
Parent Authorization *
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