Group lessons
Child’s name
*
First Name
Last Name
Child’s Birthday
*
-
Month
-
Day
Year
Date
Guardians name
*
First Name
Last Name
Relation to child
*
Guardians email
*
example@example.com
Guardians phone number
*
Please enter a valid phone number.
Emergency contact(other than primary contact)
*
First Name
Last Name
Relation to child
*
Emergency contact phone number
*
Please enter a valid phone number.
Option number one
June 27-July 1 6:30-7pm
June 27-July 1 7-7:30pm
July 4-8 11:30-12
July 4-8 12-12:30
July 4-8 6:30-7pm
July 4-8 7-7:30 pm.
July 11-15 6:30-7pm
July 11-15 7-7:30 pm.
Option 2
*
June 27-July 1 6:30-7pm
June 27-July 1 7-7:30pm
July 4-8 11:30-12
July 4-8 12-12:30
July 4-8 6:30-7pm
July 4-8 7-7:30 pm.
July 11-15 6:30-7pm
July 11-15 7-7:30 pm.
Option 3
*
June 27-July 1 6:30-7pm
June 27-July 1 7-7:30pm
July 4-8 11:30-12
July 4-8 12-12:30
July 4-8 6:30-7pm
July 4-8 7-7:30 pm.
July 11-15 6:30-7pm
July 11-15 7-7:30 pm.
Submit
Should be Empty: