Workshop registration
Please fill out this form to request a spot in the Jamberries, Fizzy Lifting Drinks and Bertie Botts Every Flavor Beans workshop on Saturday, October 22, 2-3:30 p.m. The workshop is open to children, ages 8-11. The workshop is free, but space is limited to 12 students. We will be in touch within three days to let you about your registration status.

[Students: Please check with your parent or guardian before you sign up.]
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Student name *
Student age *
Date of birth *
MM/DD/YYYY
Home address *
street/apt., city, state, zip code
Parent/guardian name *
Parent/guardian email *
We will use this only to contact you about DISCO workshops.
Parent/guardian phone number *
We will use this only to contact you about DISCO workshops.
Student's school
If homeschooled, please write "homeschooled."
Birmingham City School?
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