Bless A Child Workshop Registration

Touch, Click, or Scan the QR code to fill out the waiver form. This is required for every participating including parent/caregiver

Workshop Registration

Please fill out this form to register for our workshop.

First name

Last name

Email address

Phone number

Child Name and age

Does your child have any sensory, behavioral, or safety needs we should be aware of?

Will you need to bring a sibling under age 6?

If yes: add Siblings name and age

I understand if a sibling will be attending they are required to wear grip socks and the fee is $5. I will arrange payment with a non-profit representative.

I understand if a sibling will be attending and would like to participate in the scavenger hunt, the fee will be $5. I will arrange payment with a non-profit representative.

Does the parent or child have any food allergies or restrictions?

By submitting this form, I acknowledge and agree to the following:

One parent/caregiver is required to remain with my child the entire workshop.

Grip socks are required for all individuals entering the immersive experience.

Scavenger hunt fees apply for tagalong child.

Siblings under age 6 may attend only if no childcare is available and must remain supervised at all times.

Food will be provided, and I will disclose any allergies or restrictions.

I understand the attendance limits are enforced.

I agree to all workshop policies

I have filled out a waiver form for each person participating.

Signature

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Date and time

Month

Day

Year

Time

HoursMinutes