Teen Workshops Registration

Student's Name *
Student's Name
Parent's Name *
Parent's Name
Parent's Cell *
Parent's Cell
Parent's Landline
Parent's Landline
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Number *
Emergency Contact Number
Please check boxes for the statements you agree to:
Please select which classes you student wishes to register for:

Please note that your registration is not complete without a check. (Please see our refund policy below)

Checks should be made out to: Whalerock Workshops, LLC

Please send your check to:

Shari Becker, Whalerock Workshops, LLC.
29 Addington Road
Brookline, MA 02445

Refund Policy:  We will refund you in full for any class that does not run due to low enrollment. We are unable to reimburse students who withdraw from a class that runs. However, the amount paid may be applied towards any other class.