Registration for 2018 April Workshops
826 Boston offers creative writing and storytelling workshops during February and April vacations. If you would like to register for a workshop, please fill out this form. Questions? Please email christina@826boston.org.
Email address *
Student Name *
Your answer
Student Age *
Your answer
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Student lives in... *
School *
Your answer
Is your student currently enrolled in our After-School or Evening Program? *
Does your student have any allergies? If so, please list them. *
Your answer
Second Emergency Contact Name *
We will contact this person if there is an emergency during this workshop and we are unable to reach the parent/guardian listed above
Your answer
Second Emergency Contact Phone Number *
Your answer
Second Emergency Contact Relationship to Student *
(e.g. parent, sibling, friend)
Your answer
Photo Release Consent (Optional)
Type name below if you give consent to have your child's photo taken. If you do not give permission please leave it blank. We often use pictures on flyers and for our website, and social media for publicity.
I give my consent for 826 Boston to use the first name and/or photograph of the person listed in publications, videos, web pages, or news stories produced by 826 Boston, or agencies working with 826 Boston.
Your answer
Do you prefer to be contacted in English or Spanish? We will call you if there are any questions and to remind you that a workshop your student signed up for is coming up.
I would like to register for... *
Required
Did you select Field Trip to the Franklin Park Zoo or Yoga & Journaling? *
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