Which class? (required)
---HTD Inside Out - MAY.6 1-2pm @TNN

Parents Full Name (required)

Zip Code (required)

Email Address (required)

Phone Number (required)

Emergency Phone Number (required)

Child's Full Name(s) (required)

Child's Age(s) (required)

Does your child have special needs?
NoYes

If yes, please describe:

How do you wish to pay? (Cash payments due day of first class)

Credit CardCash

How did you hear about this class? (required)

---Friend/FamilyNewslettertoddtevlin.comEvent VenueFacebookTwitterGoogle+InstagramNextdoorSTLParentKids Out And AboutFun4STLKidsFlyerComic ConventionOther

Has your child taken a class of Todd's previously?

NoYes

Sign up to Todd's newsletter? (sent once every 1-2 months)

---NoI already haveYes (His art/comics and classes)Yes (Just his art and comics)Yes (Just classes he teaches)

Anything else you need to tell me?

Once submitted, you will be forwarded to my SQUARE page for payment. If you are paying by cash, please disregard that part and bring exact change to class, thanks!