THINQ 110: Intro to Jewelry Soldering for Kids We appreciate your timely registration for our class. To keep our classes affordable, we book our instructors and purchase materials well in advance, so depend on your advanced registration for our planning. Thank you! How many people are you registering? * 1 2 3 4 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". ThinQubator Registration Form Please fill out the following information about the participant. Child's Full Name * Child's Current Age Parents/Guardians: Please fill out the following fields with your own contact information. The person listed here will be used as our primary contact. First Name (Parent/Guardian Name) * Last Name (Parent/Guardian) * Email Address * Please note, confirmation emails, receipts, and additional class details will be sent to this address. Phone (Parent/Guardian) * If you have a discount code, enter it here Apply Class Fee(s) * Non-Member Rate - $ 100.00 Total for this participant Payment Options Payment Method Credit Card Paypal I will send payment by check. Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Review