Shop Registration | Charlotte Community

Shop Class Registration

Child's first and last name

Birthday

Month

Day

Year

Parent/guardian last name

Phone

Secondary contact first and last name

Secondary contact phone

Child's level of interest in program (from 1-10)

What does your child hope to gain/learn from this experience?

How did you hear about us?

List any allergies or accommodations needed for your child.

If you have any questions or concerns regarding this program please reach out to Alexandria's phone: (941) 623-2553 or email: alexandriasosa@yahoo.com

Please note a waiver will need to be filled out on the first day of class, please arrive 5-10 minutes prior to the class start time.

Children will need to wear closed-toed shoes at every class (crocs are not suitable for shop class), and long hair will need to be pulled back before using any equipment.

An adult listed above will need to be in attendance for the duration of all classes. One adult may supervise more than one child as long as they are listed on the child's registration form.

First and last name

Date

Signature

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