Registration

Name *
Name
Address *
Address
Phone *
Phone
Emergency Contact
Emergency Contact
Emergency Cell
Emergency Cell
Emergency Landline
Emergency Landline

Please Note:

1) This workshop is for students 21 and over as alcohol will be served.

2) Your registration is not complete without your $250 deposit.

Please make your $250 check out to:

Whale Rock Workshops, LLC  

Mail your check to the following address:

Whale Rock Workshops
c/o Shari Becker
29 Addington Road
Brookline, MA 02445
USA