Building Images | Personal and Professional Development Training

Building Images

972-624-1436

(Toll Free)
1-877-624-1436

Registration form for teen and children workshops

Register now and pay later! We will hold your childs/teens place for a small deposit of $20. Balance due 5 days before class start date.

Deposit is non refundable, it can be applied to another class date within 6 months.

Register for a workshop by completing this form. Once you click 'Submit' you will be directed to the payment page to make an online payment or you can click here if you are already registered to bypass this form and pay.


	Parent or Guardian *

	Email *

	Responsible Billing Party

	Address *

	City *

	State *

	Zip Code *

	Daytime Phone

	Emergency Phone


	First Participant *

	Age *

	Date of Birth *

	Food Allergy?

	Selected Program/Workshop * Hold down the CTRL while selecting to choose multiple workshops.

	Program/Workshop Date *	view workshop dates


	Second Participant ($10 off Siblings / Friends) when registered and paid together.

	Age

	Date of Birth

	Food Allergy?

	Selected Program/Workshop Hold down the CTRL while selecting to choose multiple workshops.

	Program/Workshop Date	view workshop dates
If you are signing up more than two participants please call for assistance. 972-624-1436

	How did you hear about us?

	What do you hope to get from this training?

* indicates required field