Messy Makers Drop-In Registration (FALL SEMESTER)
The classes that are listed here in this form have availability for drop ins. If you do not see a class that you want, it means that there are no openings.
Customer Details:
Name of Parent/Guardian
*
First Name
Last Name
Your City
Please Select
Alameda
Berkeley
Oakland
San Leandro
Other
If you selected "Other" please write your city below
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Name of Caregiver Attending Class (if different from parent)
First Name
Last Name
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How did you hear about us?
Please Select
Friend
Internet
Flyer
Google Search
Other
If Other, Please Specify
If you referred by someone, please give us their name so we can thank them:
Rows
Full Name
1
2
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Waivers
PHOTOS: Messy Makers posts photos and videos of children participating in its classes on our facebook page, Instagram page, website and for occasional promo material. These photographs are for the sole purpose of showing examples of class activity. Photographs will not be distributed in any other manner or used to exploit any child. Please note that names of children will not be posted, only photos. Please choose one:
*
Yes, I give permission for Messy Makers to post photos or videos of my child participating in class activities.
No I do not give permission for Messy Makers to post photos or videos of my child participating in class activities.
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Child Info
Child's Name
*
First Name
Last Name
Child's Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Click Here to Register Additional Children
Second Child's Name
First Name
Last Name
Second Child's Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Third Child's Name
First Name
Last Name
Third Child's Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Drop-In: Registration and Payment
Choose one or more dates that you would like to do a drop-in. Siblings automatically get a 10% discount.
My Products
*
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( X )
Wednesdays 10:00-10:45 AM
$35.00
$
35.00
Date
# of Children
Price
9/9
1
2
3
$0.00
$
0.00
9/16
1
2
3
$0.00
$
0.00
9/23
1
2
3
$0.00
$
0.00
9/30
1
2
3
$0.00
$
0.00
9/7
1
2
3
$0.00
$
0.00
9/14
1
2
3
$0.00
$
0.00
9/21
1
2
3
$0.00
$
0.00
9/28
1
2
3
$0.00
$
0.00
9/4
1
2
3
$0.00
$
0.00
9/18
1
2
3
$0.00
$
0.00
Credit Card
Submit
Should be Empty: