cosplay teen workshop registration

no. andover historical society summer programs

 


COSPLAY TEEN SUMMER WORKSHOP REGISTRATION
Payment Method *
If you want to pay with PayPal or credit card, please proceed to Marketplace (Shopping Cart) to submit registration form and payment. This form is only if you are paying by cash or check and not using the online shopping cart.
Are you a Member of the North Andover Historical Society? *
Members (Family Level and above) receive a 20% discount on workshop.
Which Sessions are you registering for? *
WORKSHOP PRICING: $15 for one workshop (2 hours) $25 for two workshops (4 hours) $35 for 3 workshops (6 hours) $45 for 4 workshops (8 hours)
PARTICIPANT INFORMATION
Name of Teen *
Name of Teen
Recommended Age Range: 12-16
PARENT/GUARDIAN
Name
Name
Address
Address
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
PHOTOGRAPHY PERMISSION
Do you grant permission for your teen to be photographed for use in Historical Society publicity, including but not restricted to its website, Facebook pages, local newspapers and the websites of the grant makers for this program? *
OTHER INFORMATION
Is there any other information we should know about your teen? *