Registration Form

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Prior to attending class(es), please print and complete.  You may email information to or mail to Crafting a Calmer Self, LLC, 29 Montvale Avenue, Montvale, NJ 07645.  Thank you! 

Crafting a Calmer Self, L.L.C.

Arts and Crafts - Class Registration Form

Client Information

Child’s Name:

Parent’s Name:

Email Address:




Special Needs?





Sensory needs or preferences?



Sensory aversions, including smells or sounds?




Favorite color?

Favorite book?

Favorite interests?


Physical limitations?


What brings you to Crafting a Calmer Self?  Goals for your child?



Please provide any additional information you feel important on back of form