"LEARN TO SEW IN A DAY!"
Registration Form
Choose the class day and time most convenient for you:
(Please note, all classes are held at The ESAIE COUTURE Design Studio at 944 Flatbush Ave, Brooklyn NY 11226)
(Please also note: Once classes fill up, that particular class/date will be marked "Closed/Full")
Student Name (13 years and older):
Parent Name (if student is under 18 yrs):
Street Address/Apt:
City / State / Zip:
Home Phone:
Cell Phone:
Email Address:
Emergency Name & Number (Relationship?):
Deal Voucher # or ID#
Release, Authorization and Waiver: I understand there is a risk of accidents happening when learning to sew. However, I also understand that the instructors will do their best to prevent accidents from happening during class instruction. In case of sickness or accident, I hereby give my permission to the medical personnel to order and/or perform any medical attention deemed necessary. I give consent for any necessary treatment when I (or my child) is in the care of a physician, hospital or dentist. Also, I accept financial responsibility if such treatment is necessary. I further understand that neither Esaie Couture Design School nor its workers can be held responsible in the event of accident. I assume all risk associated with my (or my child's) participation in sewing or related classes, and hold Esaie Couture Design School harmless for any injuries that may occur while attending this class (all locations), and all activites held by the instructors.
I also give my permission to Esaie Couture Design School to use any images taken of me, my child, or of his/her work, while attending any classes or events at Esaie Couture Design School.
No refunds will be issued after the first day of class. There will be no reduction of fees for absence, late arrival, late registration, withdrawal or dismissal.
Student Signature (as evidence by typing full name)
Parent/Guardian Signature, if student is under 18yrs old (as evidenced by typing full name)
1. Fill out registration form, completely, for each student. Use the drop down boxes to choose class on a specific day and time. Type in your Voucher ID number or code, if you have one.
2. Read "Release & Waivers" and type in your signature. Click "SUBMIT" button. Your place will be reserved. (Don't forget to bring your Voucher to class as proof of full payment).
3. If you have no voucher, after clicking on the "SUBMIT" button, you will be brought to a page to payI
(One 4 Hour session)
(One 4 Hour session)
(One 4 Hour session)
Which Daily Deal Site?
Deal Voucher # or ID #
Which Daily Deal Site?
Deal Voucher ID # or ID #
Which Daily Deal Site?
How did you hear of us? Google? Yelp? Yahoo? Ebay? A Deal Site? Family/Friend? Other?