Please put your preferred class day and time in the comments section below. Once this form is completed, you will receive an email confirming your registration. You will then be contacted to confirm all information. YOU WILL NOT BE CHARGED until enrollment is completed and confirmed.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info
Required Policies
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Questions or Concerns
Payment Information
Credit Card