May 2021 Virtual Vodec After Hours Course Registration

Participant Name

Age

Email address

Cell Phone

Are you a Vodec consumer? Are you a Vodec consumer? Yes No

Please enter your 5-digit zip code.

I want to participate in the following courses (check all that apply): I want to participate in the following courses (check all that apply): Vodec Chefs (Mondays | 5 to 6pm) Movie Mondays (Mondays | 6 to 8pm) Drawing Basics - Drawing and Design (Tuesdays | 6 to 7pm) WhyArts (Wednesdays | 6 to 7 pm) Mind/Body Wellness (Thursdays | 4:30 to 5:30pm) Explore Our World (Saturdays | 10 to 11am) Spring Fling Dance (May 20 | 6 to 8pm)

Food restrictions/allergies

Will you be paying by cash or check? Will you be paying by cash or check? Cash Check

I understand Vodec will use my first name only to protect my privacy. I also understand I will be participating with individuals unknown to me in order to expand my social interactions with others. I understand Vodec will use my first name only to protect my privacy. I also understand I will be participating with individuals unknown to me in order to expand my social interactions with others. Yes

I would like to receive e-news from Vodec. I would like to receive e-news from Vodec. Yes No