Interest Form for Classes
The Salvation Army Long Beach Red Shield Community Center, 3000 Long Beach Blvd., Long Beach, CA 90807
Please enter your membership card's 6-digit serial number.
*
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Name of Parent/Adult
*
First Name/ Nombre
Last Name/ Apellido
Name of child attending our Youth Program (Anyone under 18, if applicable)
First Name
Last Name
Name of child attending our Youth Program (Anyone under 18, if applicable)
First Name
Last Name
Name of child attending our Youth Program (Anyone under 18, if applicable)
First Name
Last Name
Parent's/Adult's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's/Adult's Email
*
example@example.com
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Youth Classes (Scroll down to submit)
5K-8th Grade, All classes are CO-ED, Blue=Sport, Green=Art/Music Prices: Up to (3) classes included in membership. 3+ classes are $50 per class for members or $100 per class for non-members
MONDAY
Soccer: Ages 5K-8, from 6PM-7PM
Soccer: Ages 9-13, from 6PM-7PM
Intro to Guitar: Ages 5K-13, from 6PM-7PM
TUESDAY
Karate: Ages 5K-8 years old, from 6PM-7PM
Intro to Art: Ages 5K-13 years old, from 6PM-7PM
WEDNESDAY
Intro to Music: Ages 7-13 years old, from 6PM-7PM
THURSDAY
Basketball: Ages 5K-8 years old, from 6PM-7PM
Basketball: Ages 9-13 years old, from 6PM-7PM
Karate: Ages 9-13 years old, from 6PM-7PM
FRIDAY
Flag Football: Ages 5K-8 years old, from 6PM-7PM
Flag Football: Ages 9-13 years old, from 6PM-7PM
Teen Classes (Scroll down to submit)
Ages 14-17 years old, All classes are CO-ED, Blue=Sport, Green=Art/Music Prices: Up to (3) classes included in membership. 3+ classes are $50 per class for members or $100 per class for non-members
WEDNESDAY
Karate: Ages 14-17 years old, from 6PM-7PM
Adult Classes/Older Adult Classes (Scroll down to submit)
Ages 18+ years old, All classes are CO-ED, Blue=Sport, Green=Art/Music Prices: Up to (3) classes included in membership. 3+ classes are $50 per class for members or $100 per class for non-members
FRIDAY
Ukulele: Ages 18+ years old, from 12PM-1PM
SATURDAY
Self-Defense: Ages 18+ years old, from 10PM-12PM
Submit
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