Sign up ~
Please complete this form and sign the release forms below to register your child for a class. If you wish to register more than one child, please complete the form once for each child. To inquire about sibling rates please email ilana@beaconcraftworkshop.com or call 917-318-7801.
Student Name *
Parent/Guardian Name *
Mailing Address *
Emergency Contact Name and Phone *
Second Emergency Contact Name and Phone
Student Age *
Email Address *
Does the student have any health issues to note?
Is there anything else you would like us to know about this student?
Classes: *
Select all classes your child will be participating in. You will receive an invoice by email.
Required
Electronic Signature for Photo Release:
By writing my name below, I give Beacon Craft Workshop permission to publish in print, electronic, or video format the image of my child. I release all claims against Beacon Craft Workshop with respect to copyright ownership and publication including any claim for compensation related to use of the materials.
Electronic Signature for Liability Release: *
By writing my name below, I authorize Beacon Craft Workshop to supervise my child in all activities. I do hereby give authority to Beacon Craft Workshop to obtain the necessary emergency medical treatment for my child, with the understanding that the family will be notified as soon as possible. I will be responsible for all emergency medical or other health care services that my child may need as well as any and all follow-ups that medical staff deems necessary. I release and discharge Beacon Craft Workshop from any liability for injury or damages to person and/or property created while participating in all activities and excursions.
If you are new to Beacon Craft Workshop, did someone refer you?
Who told you about us?
Gift Certificate number and value (if applicable):
Submit
Never submit passwords through Google Forms.
This form was created inside of Beacon Craft Workshop. Report Abuse