Old - Starting Point Registration
Please complete this form to register for the next Starting Point class.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Will there be other members of your family attending this class?
*
Please select one option.
yes
no
If you answered yes, please list the names of who will be attending besides your self:
Will you need childcare?
*
Please select one option.
yes
no
If you answered YES above, please list all ages of your children needing childcare:
Do you or anyone attending with you have special dietary needs?
*
Please select one option.
yes
no
Please list any special dietary needs if you answered YES above:
Do you have any questions prior to attending this class?
Submit
Description
Please complete this form to register for the next Starting Point class.
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