Saturday Workshops Student Registration Form
Thank you so much for connecting your student(s) to 826! Please note that each student is restricted to participating in two workshops per season. Send concerns and/or inquiries to Crys Lee (826DC's Program Coordinator) at Workshops@826DC.org, or, call 1-202-602-2267.
Workshop Registration: Student Information
First Choice (Workshop 1)
Second Choice (Workshop 2)
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Date of Birth
MM
/
DD
/
YYYY
Race / Ethnicity
Your answer
Language(s) Spoken at Home
Your answer
Grade
Name of School
Your answer
Type of School
Are you eligible for free/reduced lunch?
Emergency Contact Number
Your answer
Workshop Registration: Parent/Guardian Information
Name(s) of Parent(s) or Guardian(s)
Your answer
Preferred Phone Number
Your answer
Preferred E-mail Address
Your answer
Preferred Physical Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
How did you hear about this workshop?
Workshop Registration: Health and Emergency Contact Information
Does your student(s) have any medical needs we should be aware of?
Your answer
Do your student(s) have any allergies?
Your answer
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