Group Classes Registration

Parent's First Name:
Parent's Last Name:
Email: Phone #:
Child’s Age:
Program:
Location:
Session Details:

Dates: From Tuesday September 5 through Tuesday December 19, 2017
Class schedule: Tuesdays from 10:45-11:30 AM

How did you hear about us?

Address:
City:
Zip Code:
Child's First Name:
Child's Last Name:
Session Fee: 680
Payment Method:

I have read and agree to the terms of the waiver.

I agree to allow my child to appear in class photos and media as detailed in the photo release waiver.