Sorry, but the application period is now closed. Please email Village ENGAGED if you are still interested in participating and we will contact you!

Maker Space Series Registration Form

Please fill out the info below for your child’s spot in our Maker Space Series (January 6, 13, 20, 27) by January 1. Just one form per child for the full 4-week adventure! If you’re registering more than one child, please submit a separate form for each. Payment to cover materials ($60 per child) will be made through our donation site at the end. You can also mail a check by January 6. Thanks for helping to empower the makers of tomorrow!

Child's first name

Child's last name

Grade

Please list any allergies, including food.

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Photo Release

Village ENGAGED may take photographs of the children and their work. These may be used casually on social media or promotional materials for Village ENGAGED. No minor will be named or identified without their consent. Photographs taken are the property of Village ENGAGED and will not be provided to any third-party vendors. Please check one of the options below.

Select option

I understand and agree

I do not agree

Do you need assistance with the class fee?

Yes

Class Fee

$60

The cost to cover materials.

Maker Space Series Registration Form

Photo Release

ADDRESS

EMAIL

PHONE

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