Class Registration Form

Registration Form
Student Name*

First NameLast Name
Student Grade*
Birth Date*

MonthDayYear
Date
Student Gender*
Student Email (Gmail)*
example@example.com
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Parent Phone Number*
Please enter a valid phone number.
For Payments:

Zelle: thedolphineducation@gmail.com

OR

Paypal: thedolphineducation@gmail.com(please choose "family and friends", or you will pay 3% service fee)
I understand that I will have to pay class fee to complete the registration.
Comments
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