Registration Form
Crafting a Calmer Self, LLC – December 2024 Class Registration
Wellness & Mindfulness – Check classes you wish attend.
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| MON Mind & Body 7pm 12/16 | $15 |
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| SUN Meditation Group 11am 12/8 | -- |
Creative Arts & Everyday Adventures – Check classes you wish attend.
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| MON Intro to Fiber Arts/Sewing 7pm 12/23 | $15 |
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| MON Intro to Knitting & Crochet 7pm 12/9 | $15 |
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| TUE Zoom Creative Cooking 4:30pm 12/17 | $20 |
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| WED Art Zoom 12/4 | $20 |
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| WED Art Zoom 12/11 | $20 |
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| WED Art Zoom 12/18 | $20 |
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| WED Zoom Aspiring Teen Art 5:45pm (3 sessions) | $45 |
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| THU Zoom SEL Share & Care 12/5 | $20 |
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| THU Zoom SEL Share & Care 12/12 | $20 |
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| THU Zoom SEL Share & Care 12/19 | $20 |
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| PRIVATE class | $35 |
| Total Cost (individual classes) |
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Registration information
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| Total Payment |
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Prior to attending class(es), please print and complete. You may email information to debra@craftingacalmerself.com or mail to Crafting a Calmer Self, LLC, 29 Montvale Avenue, Montvale, NJ 07645. Thank you!
Crafting a Calmer Self, L.L.C.
Everyday Adventures - Registration & Contact Information
Client Information - Please complete form and return to instructor prior to first session.
| Name:
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| Address:
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| Email Address:
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| Telephone (indicate home and mobile):
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| D.O.B.
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| Emergency Contact:
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| Special Needs?
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| Allergies?
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| Sensory needs or preferences?
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| Sensory aversions, including smells or sounds?
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| Favorite interests?
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| Communication challenges we need to be aware of?
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| Physical challenges we need to be aware of?
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| Current Occupation and/or goals?
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| Classes you are interested in taking?
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| What brings you to Crafting a Calmer Self? What are your goals?
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| COVID 19 Protocols - Please indicate if you are able to wear a mask. (Masks are not mandatory for attending at this time. However, masking protocols may be encouraged and/or reinstated as circumstances require such changes.) |
| Please indicate if you require remote virtual instruction. |
Please provide any additional information you feel important on back of form
