Registration
5 openings left in this event!
Please make sure to sign in to your Parental Portal to Select your Class(es) after filling out the Registration Form.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
 
Questions/Options:
Any medical conditions we should be aware of?*
Who will be picking your student up? List any possibilities. *
Please make sure to log in to your Parent Portal, after Registering, to pick which Summer Class(es) you want.
 
Additional Information:
 
Assumption of Risk/Release of Liability
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I've read the above and agree.
 
Payment/Make Up/ Refund Policies
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip: