Lotus Girl Workshops: Owntrepreneur Series Registration
Summer Series Starts: JUNE 2018
Contact us at (202) 670-4273 or LotusGirl2018@gmail.com
Email address *
Child's/Children's Name *
Your answer
Child's Age *
Date of Birth *
Parent/Guardian's Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone Number # 1 *
Your answer
Phone Number # 2 *
A minimum of two working phone numbers must be provided. Please list the name of contact if different from parent/guardian
Your answer
What Does Your Child Create? *
Describe your child's interests, talents or creative abilities? *
What exceptional thing have you noticed about your child? What are somethings that they created at home or school that have made you proud? What some high-level abilities have been communicated to you from your child's teacher/school?
Your answer
Which program are you interested in? *
Transportation- How will child get to sessions? *
I understand that an invoice for the $10 registration fee will be sent to my email address upon completion of this form. The registration fee secures participant space and must be paid within 24 hours. Registration Fee is NON-REFUNDABLE. *Unpaid invoices will prevent registration from processing and participant will not have a secure spot* *
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