Children’s Etiquette Registration Form Parent Information * First Name Last Name Email * Phone (###) ### #### Children's Information Full Name Current Grade Pre K Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th What school is the student attending? Younger Siblings Name and Age Younger Siblings Name and Age What services are you interested in? Children's Class Teens Class Young Adults Dining Class Business Etiquette Customizable and Private One on Ones How did you hear about us? Payment Options Share the payment option you will use. Venmo @Sara-Stein-6 Check Cash Photo and Video Release Please use the checkbox below to grant permission to Modern Etiquette Made Easy and Sara Summers Stein to use photos and/or videos taken at etiquette classes and events for our publicity, social media, and web content. Modern Etiquette Made Easy will not use the photo in any way unrelated to the etiquette classes. As the parent/guardian, I GIVE permission for images of my child(ren) to be used by Modern Etiquette Made Easy in print or electronic materials as indicated above. As the parent/guardian, I DENY permission for images of my child(ren) to be used by Modern Etiquette Made Easy in print or electronic materials as indicated above. Etiquette Class Please confirm the class & date your child is attending Thank you!
