Kids Comic Workshop Signup Form

CODES:
(INT) = Introductory One Hour Class – 8-11yrs ($10 per child)
(JRKCW) = Three Weeks – 6-7yrs ($30 per child)
(BEGKCW) = Six Weeks – 8-11yrs ($60 per child)
(ADVKCW) = Six Weeks – 12+yrs ($80 per child)

Which class? (required)

Parents Full Name (required)

Zip Code (required)

Email Address (required)

Phone Number (required)

Emergency Phone Number (required)

How Many Children Attending This Class?

OneTwoThree

Child's Full Name(s) (required)

Child's Age(s) (required)

Does your child have special needs?
NoYes

If yes, please describe:

Child's Full Name(s) (required)

Child's Age(s) (required)

Does your child have special needs?
NoYes

If yes, please describe:

Child's Full Name(s) (required)

Child's Age(s) (required)

Does your child have special needs?
NoYes

If yes, please describe:

Child's Full Name(s) (required)

Child's Age(s) (required)

Does your child have special needs?
NoYes

If yes, please describe:

How did you hear about this class? (required)

Please explain how you heard about this class.

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

NoYes

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

Anything else you need to tell me?

TOTAL: $ 0

How do you wish to pay? (Cash payments due day of first class and exact change please.)

Credit CardCash

Once submitted, you will be redirected to the payment screen located on this site. You will not be redirected elsewhere. If you are paying by cash, please disregard this, thanks!

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