December Shaker Make-Kit Registration
This is the registration form for the December 2020 Shaker Make-Kit offered by Shaker Makers and Shaker Historical Society. Please complete this form before or after paying for the kit through the yellow PayPal link found at
Your Email Address: *
Parent/Guardian Name *
Street Address (this kit will be delivered to this address) *
Child(ren) First Name and Age: *
Number of anticipated participants *
Photo Release and Consent Form
I agree to take photos of my child(ren) and/or have them take photos of themselves and/or their projects from this kit to be shared with other Make-kit participants and digital marketing for Shaker Make-kits, Shaker Makers, and Shaker Historical Society. *
I allow any photos of my child(ren) to be used in promotional materials and digital marketing for Shaker Make-kits, Shaker Makers, and the Shaker Historical Society. *
After submission of this registration form, you will receive an email confirmation with a link to pay for the program. Cost for the program is $25 for SHS members and $30 for non-members (cost is per kit and includes materials) . The balance is due in full by 11:59pm on December 4th, 2020.
Supplies for the program are included in the cost of the program and will be delivered to you the week of December the 7th. Details will be included in your confirmation email. Please contact for questions or concerns.
I understand that although this kit is made for ages 6-106, parent/guardian supervision is required. *
I consent that all the above information is true and I agree to be contacted by Shaker Makers and/or Shaker Historical Society regarding this program. *
Never submit passwords through Google Forms.
This form was created inside of The Shaker Historical Society. Report Abuse