"Happy Sack vs. Sad Sack" workshop 6/15/26 -Registration Form

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Date:
Monday, June 15th from 4:00pm-5:00pm.
This event is drop off only

During this Hacky Sack themed workshop, students will learn that ALL feelings are okay, however our negative energy and bad attitude can spread. Participants will learn that life has ups and downs, and we ALL drop at times (like a Hacky Sack). However, the choices we make once we are down matter. Feelings are never wrong, however our behaviors and attitudes can hurt those around us. Through discussions, video clips, Hack Sack games, and FUN, students will learn the power of our energy, attitudes, and choices. Each student will receive their own Hacky Sack to keep! Ages: Open to students in grades 3-6. Participants must be able to follow Be Well with SEL's "Code of Conduct" that is written into the Workshop Agreement Form. A signed agreement form is required for each participant.

Cost:
The cost of the 1 hour workshop is $30 per student. Accepted forms of payment include cash, check made payable to "Be Well with SEL, LLC", or Venmo @KristenPerrotti (last 4 digits are 6671). Please mail checks to the address listed below.

Location:
Be Well with SEL, LLC
790 Turnpike Street, Suite 102
North Andover, MA 01845

Payment:
FULL PAYMENT is due at the time of registration in order to secure your child's spot.

AFTER SUBMITTING THE REGISTRATION FORM, YOU WILL RECEIVE AN E-MAIL CONFIRMATION (within 24 hours) FROM KRISTEN STATING THAT YOUR CHILD IS REGISTERED FOR THE WORKSHOP. IF YOU DO NOT RECEIVE CONFIRMATION AFTER 24 HOURS, PLEASE E-MAIL: kperrotti80@gmail.com

Email *

Participant Name *

Participant Age *

Participant Grade *

Grade 3

Grade 4

Grade 5

Grade 6

Address *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian E-mail *

Emergency Contact Name AND Phone Number *

Please provide any additional information you feel might be helpful to know about the participant

*PAYMENT AGREEMENT: By checking the box below, you agree to pay your child's workshop fee in full at the time of submitting this registration form. *

I agree to pay the $30 workshop fee after checking this box.

Required

Payment Method: *

Cash

Check made payable to "Be Well with SEL, LLC" (please mail check to: Kristen Perrotti, Be Well with SEL, 790 Turnpike Street, Suite 102, North Andover, MA 01845)

Venmo @KristenPerrotti (last 4 digits are 6671 if Venmo requires it)

AFTER SUBMITTING THE REGISTRATION FORM, YOU WILL RECEIVE AN E-MAIL CONFIRMATION (PLEASE ALLOW 24 HOURS) FROM KRISTEN STATING THAT YOUR CHILD IS REGISTERED FOR THE WORKSHOP. IF YOU DO NOT RECEIVE CONFIRMATION AFTER 24 HOURS, PLEASE E-MAIL: kperrotti80@gmail.com

A copy of your responses will be emailed to the address you provided.

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