Spring 2021 Class Registration
January 4th - May 22nd
Registration
*
Student Registration
Class Payment
Payment for the month of:
January
February
March
April
May
Choose Start Date
*
-
Month
-
Day
Year
Date
Age
*
"A" for Adults
Student's Name
*
First Name
Last Name
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Will sibling also be attending?
*
Yes
No
Student's Name
*
First Name
Last Name
Age
*
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Parent/Customer Name
*
Contact Number
*
Email
*
Confirmation Email
Invoices and other school notices are sent to emails on file
Address
*
Street Address
Street Address Line 2
City
Zip Code
Emergency Contact Name
*
Same as above
Other
Emergency Contact Number
*
Same as above
Other
Additional Comments/Notes
Class Type
*
Once a Week - 2 Hours
2 hour Classes
Monday: 5 PM - 7 PM
Tuesday (Adults & Teens): 10 AM - 12 PM
Tuesday: 5 PM - 7 PM
Wednesday: 5 PM - 7 PM
Thursday (Adults & Teens): 1 PM - 3 PM
Thursday (10+ year olds): 5 PM - 7 PM
Friday (Adults & Teens): 1 PM - 3 PM
Saturday: 10 PM - 12 PM
Saturday: 1 PM - 3 PM
How did you hear about us?
Internet Search
Driving By
Facebook
Friend Referral
Other
I give my permission for my child's / my photo and artwork to be used in promotional material. Only first name, last initial and age will be used for credit line.
Signature
*
My Products
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New Student Registration Fee - 1 year (REQUIRED PER STUDENT)
$
30.00
STUDENTS
1
2
Annual Registration Renewal - 1 year (REQUIRED PER STUDENT)
$
10.00
STUDENTS
1
2
Once a Week Tuition - 2 hours
$
150.00
MONTHS (per student):
1
2
3
4
5
6
Spring Semester Tuition
$
675.00
2 Hour Classes Once a Week (Save $75)
SEMESTER (per student)
1
2
Siblings Discount: Once a Week Tuition - 2 hours
$
285.00
MONTHS (per student):
1
2
3
4
5
6
Annual Supply Fee (REQUIRED PER STUDENT)
$
40.00
STUDENTS
1
2
Enter coupon
Apply
Total
$
0.00
Credit Card
Submit
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