Student Registration for ages 5-8 & 9-12
Class prices listed are per month. Once you have been registered a subscription will be created for your student and invoiced to you monthly. Please setup autopay upon receiving your first invoice. Must have a two week notice of cancelation of classes. Due to holiday breaks and the occasional emergency we only guarantee three class days a month.
Student Name
*
First Name
Last Name
Student Age
*
Please Select
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Student Birthday
*
-
Month
-
Day
Year
Date
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Parent Phone
Please enter a valid phone number.
Format: (000) 000-0000.
If you don't mind please tell us where you hear about us?
*
Is there anything about your child we should be aware of? Allergies, learning disabilities, etc.
*
Behavioral Policy
Have you read and agree to the behavioral policy?
*
I have and I do agree
After school registration
If you are registering multiple students please contact us as we can work with you on pricing. All supply fees are included in the pricing. ALL TUITION IS AUTO BILLED MONTHLY FOR THE PRICE LISTED, it is not a semester price.
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Tuesdays (5-8 year old)
5pm-6:30pm
$
100.00
Tuesdays (9-12 year old)
5pm-6:30pm
$
100.00
Thursdays (5-8 year old)
5pm-6:30pm
$
100.00
Thursdays (9-12 year old)
5pm-6:30pm
$
100.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: