Join us for Kids Identity Class

Sunday, March 19, 9:00am-12:00pm

Parent/Guardian Information

First Name *

Last Name *

Address *

City *

State *

Postal code *

Email *

Phone *

Emergency Contact *

Emergency Contact Phone Number *

Minor Participant Information

1 Minor Child *

1 Minor Address

1 Minor Birthday

School attending

What would you like us to know about your child? Most Important issues, challenges. Please include any allergies. *

What do you hope your child learns from attending this Kids Identity Workshop? *

First Name *

Last Name *

Address *

City *

State *

Postal code *

Email *

Phone *

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