One-on-One Online Class Registration Form

Jordan Hill Creative Writing & Reading Workshop > One-on-One Online Class Registration Form

Child's Name*
First Last
Date of Birth
MM slash DD slash YYYY
Child's Age
Child's School*
Country of Resident*
Parent's 1 Name*
First Last
Parent's 1 Phone Number*
Parent's 1 Email Address*
Parent's 2 Name
First Last
Parent's 2 Phone Number (optional)
Parent's 2 Email Address (optional)
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Choose Preferred Day (subject to availability)*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Time (subject to availability)*
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GDPR Accepted On*
- I agree with storage, handling and use of my data and media by this Jordan Hill Creative Writing & Reading Workshop. We are committed to protecting your privacy and ensuring your data is handled in compliance with the General Data Protection Regulation (GDPR).
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