Event Reservation Form

Contact Information

First Name

Last Name

Address

Address Line 2

State

City

Zip Code

Phone

Class Participation

Attendee Information

Registration	Number of Participatns	Amount	Total
Full Year (workshops included)		120.00
Wednesday, December 4, 2024		20.00
Thursday, January 2, 2025		20.00
Wednesday, January 29, 2025		20.00
Wednesday, February 26, 2025		20.00
Wednesday, March 26, 2025		20.00
Wednesday, April 30, 2025		20.00
Wednesday, May 28, 2025		20.00
Total

Additional Guest

For Additional Guests, please enter all attendee names

	#	Registration	Guest First Name	Guest Last Name

Optional Sponsorship

Reservation Amount

Optional Sponsorship

Total Amount

Payment Information

Card Number

Card Expiration

Security Code

Use contact info above

Name on Card

Billing Address

Zip Code

Note