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 *
Your answer
Parent/Guardian Name *
Your answer
Mailing Address *
Your answer
Emergency Contact Name and Phone *
Your answer
Second Emergency Contact Name and Phone
Your answer
Student Age *
Your answer
Email Address *
Your answer
Does the student have any health issues to note?
Your answer
Is there anything else you would like us to know about this student?
Your answer
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.
Your answer
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.
Your answer
If you are new to Beacon Craft Workshop, did someone refer you?
Who told you about us?
Your answer
Gift Certificate number and value (if applicable):
Your answer
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