REGISTRATION: MOMS DAY WORKSHOP
We are excited to have you join us.

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First Name *
Last Name *
Email Address 
IMPORTANT:  All future correspondence will be directed to this email. Please double check correct entry of this email address. Thank you!
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Cell Number *
PREFERRED PAYMENT METHOD:
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Your Town *
Your Zip Code *
How did you hear about Broadway Arts Collective? *
PHOTOGRAPHY: Workshops are periodically photographed and videotaped for use in future BAC literature, advertisements and online social media and promotions. Students are NEVER identified by name. If you choose NOT to be photographed or videotaped, please know that you may be asked to step out from participating for a brief moment in order to avoid your appearance in a photograph or video. Do you give consent to be photographed and/or videotaped?
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BAC POLICIES: Yes, I have read the BAC Policy Page "Legal Stuff and Refund Policy" on the BAC website and I understand and agree to the terms and policies outlined.
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