Cooking Classes June/July
Dates: June 8 (Mon), June 24 (Weds), July 13 (Mon), July 22 (Weds)
Time: 5:00-7:30pm
First Name
Please use a separate registration for each participant.
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Last Name
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Age
if under 18
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Parent/Guardian First Name
If registering a child under 18
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Parent/Guardian Last Name *
If registering a child under 18
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Address
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City
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State
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Zip
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Contact Phone *
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Contact Email *
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Emergency Contact First Name *
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Emergency Contact Last Name *
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Emergency Contact Relationship
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Emergency Contact Phone *
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Medical Conditions/Learning Disabilities/Other helpful info
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If you are registering a child, who may pick up your child from this class?
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Release (for those registering a child under 18) *
As an adult or as a legal guardian of the minor named above, I hereby confirm that I have chosen to participate in the Unity Lutheran Church of Berwyn Awake program, including all planned and arranged activities. I am aware that this program may present risks of personal injury, property loss, or damage to participants. I accept all responsibility for any injury, death, or other loss or damage that may occur to me and/or to the minor as a result of the my or the minor’s participation in the Unity Lutheran Church of Berwyn Awake program. I release Unity Lutheran Church of Berwyn and will indemnify and hold harmless Unity Lutheran Church of Berwyn, its agents, affiliates, and successors from all claims, judgments, and costs, including attorney’s fees, incurred in connection with any action that may be brought as a result of my or the minor’s participation in the Unity Lutheran Church of Berwyn Awake program. I have read the Agreement and Release of Liability. I understand and agree to the terms.
Required
Photography *
Awake may occasionally take pictures of participants for use in marketing material. I hereby consent to the use of my and/or my dependent's photograph in said marketing materials, including brochures, publications, presentations, and social media. Participants will not be named in these photographs.
Please register me for the following dates: *
Required
Payment Method *
Payment must be received 3 days before class. If you cannot make payment within that timeframe, please contact us at berwynsawake@gmail.com.
Sliding Scale Payment
Please fill in the amount you will pay for the class(es) on a sliding scale of $12 - $18 per class. Cost of class includes materials.
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