Maryland Book Club Registrations | Guiding Exceptional Parents

Which book club are you registering for?*

Which of the following brings you to the book club?*

How many are attending?*

Your Name*

Prefix First Last

Second person's name

Prefix First Last

Your email*

Parent/Guardian #2 email

Your preferred contact phone number (in case we need to cancel)*

How did you learn about this class?*

Where do you live?*

Please make a donation to help cover the cost of the event*

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

*

I agree to the privacy policy.

Maryland Workshops