Chieko Kojima Workshop Sign-Up Form

February 6 (Tue), 2018  6.30pm - 9pm

Thank you very much for your interest in our Chieko Kojima Workshop!  Please fill out this form to register for the workshop.  
Please note that you will be subject to our cancellation policy below once the form is submitted.  If you have any questions, feel free to contact 

Cancellation Policy

  • 100% refund if you cancel before Feb 2nd (Fri) 11.59pm.
  • 50% refund if you cancel between Feb 3rd (Sat) and Feb 5th (Mon) 11.59pm.
  • No refund if you cancel on the day of or do not show.

*We will still bill you cancellation fee if you sign up and cancel without paying the workshop fee.

Name *
Date of Birth *
Date of Birth
Phone *
Workshop Content *
Please choose the topic you would like to focus on.
Please choose your preferred method of payment for the workshop ($60). Once this form is submitted, you are subject to our cancellation policy. The payment instruction will be included in the confirmation email.