July 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 with Stephanie (Mondays at 5pm) $10 Color Theory Part 2! with Daryn (Tuesdays 6-7pm) $10 Zoom Karaoke with WhyArts (Wednesdays 6-7pm) $10 Game Night with Meghan (Thursdays 4:30-5:30pm) $10 Movie Night with Stephanie (July 12, 6-8pm) FREE FOR ANY VODEC CONSUMER

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