Class Selection Form (January)

Class Selection Form (January)

Enlightened Minds Vendor Campus
Student Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
TUESDAY Vendor Campus
Early Tuesday Morning (~9:00am)
Tuesday Morning (~10:00am)
Tuesday Afternoon (~12:00pm)
Tuesday Late Afternoon (~1:30pm)
THURSDAY Vendor Campus
Thursday Early Morning (~9:00am)
Thursday Morning (~10:00am)
Thursday Afternoon (~12:00pm)
Additional Comments
Should be Empty: