Mossy Mushroom Centerpieces Parent & Child Crafting Tea Saturday, November 15, 2014 10 a.m. to 12 noon Please join us for a delicious morning teatime snack and an imaginative crafting project. Create a set of mushroom tableaux, alongside your little one or while s/he plays. These are charming curios for your home: table centerpieces, windowsill ornaments, even habitats for the household fairies. And they also make terrific Thanksgiving gifts for friends and family. We offer these simple crafting events for children to attend with their parents or other caregivers, including grandparents! Take your handiwork home at the end of the morning. Flat $12 supplies fee per child. Register at SimplicityLearning.org. 12453 Bel Red Road, Suite 210, Bellevue, WA 98005 [email protected] 425.614.0145 We conduct our programs without discrimination on the basis of race, color, national or ethnic origin, class, gender, sexual orientation, or family structure. Parent & Child Crafting Tea Mossy Mushroom Centerpieces Saturday, November 15, 2014, 10 a.m. to 12 noon REGISTRATION FORM First and Last Name of parent or caregiver and child/ren attending: ___________________________________________________________________________ Mailing address: ___________________________________________________________________________ Email and telephone: ___________________________________________________________________________ How did you hear about this event? ___________________________________________________________________________ To track diversity statistics, required to demonstrate our nondiscriminatory policies, please indicate racial/ethnic background of adult/s and child/ren attending: ____________________________________________________________________________ All adults who will attend, please read carefully and initial each of the following agreements: ______ I/we understand that this workshop is hosted in a leased office space and that I/we am/are responsible for my personal safety and property, and my child/ ren’s supervision, at all times. ______ I/we agree to hold harmless Simplicity Learning and the property owner from and against any damage, loss, liability, claim, demand, suit, cost and expense directly or indirectly resulting from, arising out of or in connection with the use of Simplicity Learning by crafting tea party attendees, children, successors, assigns, employees, agents and invited guests. ______ I/we understand that Simplicity Learning conducts its programs without discrimination on the basis of race, color, national or ethnic origin, class, gender, sexual orientation, or family structure. ______ I/we enclose my workshop fees for _______ # of children, $12 per child, with this completed, initialed, and signed registration form. I/we, the adults attending this event, have provided the information requested on this page, and agree to the information and terms shown as indicated by my/our initials and signature: ____________________________________________________________________________ SIGNATURE OF ATTENDEE DATE 12453 Bel Red Road, Suite 210, Bellevue, WA 98005 [email protected] 425.614.0145
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