SEGMENT ONE WAIT LIST
HASLETT CLASSES ONLY
Student First Name
*
Student Last Name
*
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Parent E-mail
*
This e-mail will receive a confirmation receipt.
Student or Secondary E-mail
This e-mail will NOT receive a confirmation
Class Desired (1st choice)
*
Extra comments or details can go here too!
What class are you currently registered for
If you aren't signed up for any class just leave this blank
Submit
Should be Empty: