Registration

Please submit one form for each participant. Be sure to include the student's complete date of birth for appropriate class placement.

Use the comments section of the form to let us know ALL days and timeframes available. If you'd like to request the same class as friends and family, please let us know in the comments section. We'll do our best to accommodate your requests. If a preferred class is already full, we'll let you know and try to get you into another section that works with your schedule.

Payment will hold your place in class. We are unable to hold spots without payment and completion of enrollment. If we are unable to make a placement at your available time or if a section is cancelled, a refund will be given.

Select Class:

Preferred Day/Time:	(e.g. Tuesdays 09:30)

Parent's First Name:
Parent's Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Email Address:
Home Phone Number:	- -
Work Phone Number:	- -
Cell Phone Number:	- -

Alt. Contact Person:
Alt. Contact Phone:	- -

Child's First Name:
Child's Last Name:
Child's Current Age:	months years
Child's Birthdate:	(MM/DD/YYYY)

Class Materials Format:	CD Digital Download

List any allergies or medical issues of which the teacher should be aware:


How did you hear about us?:

Other:

Question/Comment: