Registration
Already a customer? Click here to login.
To add additional students, click "Add Student Button" at end of form.
For Spring Registration, class open enrollment will open at 9:00PM on Monday, December 12.
Credit Cards are NOT charged at the time of registration they will be charged on one week into the session, which is Sunday, February 5th. The full balance of tuition will be collected on this day. There will be no refunds for dropped classes after 02/5/23
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denotes required fields
Family Information
Family Nickname (>6 CHARS REQ) Last Name
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Where do you live?
Home Address
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City
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State
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip
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Primary Phone
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Additional Info
Emergency Contact Info (Not Contact #1 or #2)
*
Best person to contact
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4PM Pick Up Notes
Contact #1
Contact #1 First Name
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Last Name
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
How Can We Contact You?
Home Phone
Work #
Cell #
Portal Access (your email is your login)
Email
*
(Emails are kept confidential)
Confirm Email
*
Portal Account Password
Confirm Portal Account Password
Contact #2
Contact #2 First Name
Last Name
Type
Caregiver
Father
Guardian
Mother
Parent
How can we contact you?
Home Phone
Work #
Cell #
Email
(Emails are kept confidential)
Confirm Email
Student #1
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
(format=mm/dd/yyyy)
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Child Large
Child Medium
Child Small
Child X-Small
4PM Pickup Notes
*
Student #2
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
(format=mm/dd/yyyy)
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Child Large
Child Medium
Child Small
Child X-Small
4PM Pickup Notes
*
Student #3
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
(format=mm/dd/yyyy)
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Child Large
Child Medium
Child Small
Child X-Small
4PM Pickup Notes
*
Student #4
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
(format=mm/dd/yyyy)
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Child Large
Child Medium
Child Small
Child X-Small
4PM Pickup Notes
*
Student #5
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
(format=mm/dd/yyyy)
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Child Large
Child Medium
Child Small
Child X-Small
4PM Pickup Notes
*
Add Another Student
Required Policies
(Show-Hide Details)
I Agree to All of the Above
Enter your Full Name
*
Questions or Concerns
Comments
Payment Information
Credit Card
Card Number
*
Visa
Mastercard
Amex
Discover
Exp Month
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year
*
Card Nickname
Name as it appears on card
*
Address Line 1
Address Line 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip
*
