Welcome. Let's get you registered for
Breadboarding 101 with Jen.
This workshop is for visitors 10+ years.
$24 Admission  |  $12 for Members

Please stop by our Front Desk 10-15 minutes prior to the workshop start time to pay your admission and secure your spot. An online payment system is coming soon!
Start
 
Are you registering yourself or a child? *

(We consider a Child anyone under 18 years of age)

 
Okay. What's the Child's full name? *

First and Last please.
 
What is the Child's age? *

 
What's your relationship to the Child? *

 
How familiar is the Child with this topic or tool?

Not sure? Just leave it blank.





 
Do you need to register another child?

     
 
Okay. What's the second Child's full name? *

First and Last please.
 
What is the second Child's age? *

 
What's your relationship to the second Child? *

 
Alright. Now, what's your name? *

First and Last please.
 
Okay. What's your name? *

First and Last please.
 
E-mail Address? *

Don't worry. We're not going to spam you.
 
Cell Phone Number? *

 
Can we text you day-of to remind you of your workshop start and end time?

     
 
How familiar are you with this topic or tool?

Not sure? Just leave it blank.





 
What zipcode do you live in?

 
Are you a member at Living Computers? *

     
 
Lastly, please provide us with an emergency contact for the Child.

Your contact information will be used as the Child's primary contact. Please list a secondary emergency contact who could either (1) reach you or (2) pick-up your child from Living Computers if you are found unavailable. Either contact may be asked to provide proof of identification by LCM+L staff prior to release of the Child from the workshop.
 
Emergency Contact Name? *

First and Last please.
 
Emergency Contact Phone Number? *

Please list the number most likely to reach your contact (landline or mobile).
 
In the event that you cannot pick up the Child from the workshop, do we have permission to release his/her/them to the Emergency Contact listed above? *


 
Lastly, please provide us with an emergency contact.

If you are over 18 years of age and registering yourself, please provide contact information for an individual who resides in Washington State.
 
Emergency Contact Name? *

First and Last please.
 
Emergency Contact Phone Number? *

Please list the number most likely to reach your contact (landline or mobile).
Thanks for registering! You're all in our system. 
Please remember to pay your admission at the Front Desk
10-15 minutes before the Workshop starts. 

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