New Group or Class Request Form
Fill out the below questionnaire and we will notify you when we have a group or class available that meets your needs.
DateTime
What group would you like to see in the future?
What class would you like to see in the future?
Mark any age groups you would be interested in the group or class focusing on. (Mark all that apply)
4-6 years old
7-12 years old
13-17 years old
18-24 years old
25-64 years old
65 +
Schedule
Help us know any times you would be able to attend a group or a class.
Select ALL days/times you could make work with your schedule.
*
I am flexible and can make anything work
Mon mornings 10 am-12 pm
Mon afternoons 1 pm-4 pm
Mon evenings 5 pm-8 pm
Tues mornings 8am-12 pm
Tues afternoons 1 pm-4 pm
Tues evenings 5 pm-8 pm
Wed mornings 8 am-12 pm
Wed afternoons 1pm-4pm
Wed evenings 5 pm-8 pm
Thur mornings 10:30 am-12 pm
Thur afternoons 1 pm - 4 pm
Thur evenings 5 pm - 8 pm
Fri mornings 8 am - 12 pm
Fri afternoons 1 pm - 4 pm
Fri evenings 5 pm
Sat morning 8 am-12 pm
Sat afternoon 1 pm - 4 pm
How did you hear about us?
*
Be Specific, for instance, if a friend referred you, please provide name of referring friend
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Contact Information
We will notify you as soon as a class or group is available.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: