Summer Class Registration

Summer 2019 Class Registration

June 3rd - August 24th
Registration
Payment for the month of:
Choose Start Date

MonthDayYear
Date
Student's Name

First NameLast Name
Age
"A" for Adults
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Will sibling also be attending?
Student's Name

First NameLast Name
Age
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Parent/Customer Name
Contact Number
Format: 0000000000.
Email

Confirmation EmailInvoices and other school notices are sent to emails on file
Address

Street Address

Street Address Line 2

City

Zip Code
Emergency Contact Name

Other
Emergency Contact Number

Other
Once a week
1.5 hour Classes
2 hour Classes
How did you hear about us? Please check all that apply

Other
Additional Comments/Notes

New Student Registration Fee$30.00

Students

Monthly - 2 hour$145.00

MONTHS (per student):

Monthly - 1.5 hour$135.00

MONTHS (per student):

Sibling Discount$-10.00

Summer Semester - 2 hours$385.00

Quantity

Summer Semester - 1.5 hour$360.00

Quantity

Single Class - 2 hour (NOT trial class)$35.00

DAYS (per student)

Single Class - 1.5 hour (NOT trial class)$32.75

DAYS (per student)

Total $0.00

Summer 2019 Class Registration