Registration Date:
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Month
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Day
Year
Date
Client Name:
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Desired Session(s)
You may sign up for 1 or more days per session. You may choose to do any single session or a combination of sessions.
Summer 2 Ground Based: Aug. 6 - Aug. 29
Tuesday 8:30
Thursday 8:30
Summer 3 Blend: Sept. 2 - Sept. 26
Monday 8:30
Tuesday 8:30
Wednesday 8:30
Thursday 8:30
Monday 10:00
Tuesday 10:00
Wednesday 10:00
Thursday 10:00
Please share client goals for Summer Session:
*
Please share 3 areas or activities you would like to participate in for Summer Session:
*
Any additional information you would like your team to know:
Billing
You will be billed $40 per lesson at the end of your session. If you are a current approved financial aid recipient you are qualified for 1 lesson per week, per session to utilize existing financial aid.
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