Student Pre-Registration Form
Please fill in the names and age ranges of all students planning to attend class.
Student #1
Student #1 Name
*
First Name
Last Name
Student #1 - Age Range
*
Please Select
5-7
8-12
13-17
18+
Student #1 - Rank
*
Please Select
White
Yellow
Orange
Green
Blue
Purple
Brown
Black
'White' if new student
Student #1 - Passbook Number
Leave blank if new student, or if not easily accessible.
Student #2
Student #2
First Name
Last Name
Student #2 - Age Range
Please Select
5-7
8-12
13-17
18+
Student #2 - Rank
Please Select
White
Yellow
Orange
Green
Blue
Purple
Brown
Black
'White' if new student
Student #2 - Passbook Number
Leave blank if new student, or if not easily accessible.
Student #3
Student #3
First Name
Last Name
Student #3 - Age Range
Please Select
5-7
8-12
13-17
18+
Student #3 - Rank
Please Select
White
Yellow
Orange
Green
Blue
Purple
Brown
Black
'White' if new student
Student #3 - Passbook Number
Leave blank if new student, or if not easily accessible.
Student #4
Student #4
First Name
Last Name
Student #4 - Age Range
Please Select
5-7
8-12
13-17
18+
Student #4 - Rank
Please Select
White
Yellow
Orange
Green
Blue
Purple
Brown
Black
'White' if new student
Student #4 - Passbook Number
Leave blank if new student, or if not easily accessible.
Student #5
Student #5
First Name
Last Name
Student #5 - Age Range
Please Select
5-7
8-12
13-17
18+
Student #5 - Rank
Please Select
White
Yellow
Orange
Green
Blue
Purple
Brown
Black
'White' if new student
Student #5 - Passbook Number
Leave blank if new student, or if not easily accessible.
Submit Application
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