Course Registration Form

Registration Form

Xochitl-Salcido Venmo 619-253-0053 Zelle Fall 15 wk semester 2026 Sept 1st-Dec 18th 3hr classes are $675 per semester. Submit Enrichment Certificates within 5 days of Registration or a $35 non-refundable deposit to hold your space. Cooking and Spanish Classes require further registration Do Not Pay Here your information will be forwarded to the vendor.
Student Name

First NameMiddle NameLast Name
Parent(s) Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Check all that apply (Summer Camp 2026)
Check all that apply (Fall 2026)
Allergies? Child interests?
Should be Empty: