EmailMe Form - Sewing Lessons

Participant Information

Number of Participant(s)

Age(s) of Participant(s)

If over 16, please enter "adult"

Parent's Name

First Last

Child's Name

First Last

Additional Child's Name

First Last

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Class Information

Class Type

Sewing

Quilting

Stuffed Animal

Other

Class Level

Beginner

Intermediate

Advanced

Other

Scheduling Information

Preferred Day(s)

Weekday

Weekend

Either Weekday or Weekend

Preferred Time(s)

10am - 1pm

1pm - 4pm

Other

Class Length - Per Session - Cost Per Child

3 hour ($60)

4 hour ($80)

6 hour ($120)

Private Lesson ($35/hr, 2 hr minimum)

Class Length

One Day

3-Day Course (5% Discount)

4-Day Course (10% Discount

3 Week Series (5% Discount)

4 Week Series (10% Discount)

Please note, a deposit of one class is required to reserve a space in a single or multi-week class. Discount and deposit will be applied and the remainder of payment will be due during the first course session. Please make reservation payment through www.bluejasminestudios.com (you will be linked to the appropriate page after filling out this form).

Equipment

I own a sewing machine and would like to use it for the class(es)

I would like to use a sewing machine for class(es)

Emergency Contact 1

Please include names and telephone numbers

Emergency Contact 2

Please include names and telephone numbers

Liability *

Agree

By checking this box I agree to release Brenna Deutchman and Blue Jasmine Studios from any and all liability for this course. I understand that all reasonable safety precautions will be taken by instructor and students.

Other Information

How did you hear about the sewing lessons?

Craigslist

NextDoor

Email from Blue Jasmine Studios

Other (if a friend, who?)