2023-2024 CraftBrainiacs Create and Craft After School (CCSD)

Please select your child's school:

LONG TERM REGISTRATION

SINGLE SESSIONS

PARENT INFORMATION

Parent/Guardian's Name:

Email:

Phone Number:

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Preferred Contact Method:

Email
Text
Phone

CHILD INFORMATION

Child's Name:

Child's Date of Birth:

Child's Gender:

Male
Female

Who is your child's teacher?

How will your child be getting home after club?

Does your child have any medical/behavioral issues that may impact their ability to be successful with CraftBrainiacs?

EMERGENCY INFORMATION

Emergency Contact (If parent/guardian cannot be reached):

Emergency Contact Phone Number:

Relationship to child/family:

Subtotal

$0.00

Coupon Code

Credit Card Processing Fee

$0.00

Note: Processing fee may be avoided with offline payment via check. Please contact us for more information.

Registrant Total

$0.00

Photo Consent*

By registering, I am giving my permission for my child/children to be photographed during CraftBrainiacs clubs, classes, and events. I understand that these photographs may be used in marketing materials through print, video, and online channels. Please contact us with any questions.

Billing Disclaimer*

I understand that CraftBrainiacs reserves the right to adjust billing and charge the credit card kept on file for any sessions attended beyond those that have been paid. We will send periodic updates to let you know how many sessions your child has remaining and you may contact us at any time for this information.

Refund Policy*

I understand and accept CraftBrainiacs' refund policy:

If you are not completely satisfied after your child attends their first club session, please let us know and you will receive a full refund for any unused sessions*.

No refunds will be issued after a child has attended a second time.

*Processing fees may apply.

Almost done. Where should we send the confirmation?

Name

Phone Number

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