Workshop Registration Form 

Today's Date *
Today's Date
Workshop *
Need after care?
For whole day workshop only.
Student's Name *
Student's Name
Student's Phone #
Student's Phone #
Parent's Name *
Parent's Name
Parent's Phone 1 *
Parent's Phone 1
Parent's Phone 2
Parent's Phone 2
Home Address *
Home Address
Method of Payment *

Your seat will be secured once we received your payment. 

Payment instructions: 

- Check payable to Eastside Education and mail or drop it to 

   2721 152nd Ave NE Redmond, WA 98052

- PayPal or Bank Pay/Transfer payable to