WORKSHOP REGISTRATION

    Child Full Name  
    E-mail  
    Phone Number  
    Age  
    Parent\Legal Guardian Full Name  
    Guardian Phone Number  
    Which workshop are you registering for?  
    Does child need transportation?  
      

    WORKSHOPs

    proud sponsors

    Location: Gerry's Event Center

               916 Rock Quarry Rd.

                   Suite 111

               Raleigh, NC, 27601