**Please provide at least 2 options for day and time that would work best for your family in the comments section at the bottom of the page.** Once this form is completed, you will receive an email confirming your registration. You will then be contacted by phone to confirm all information and enroll your child in an appropriate lesson. 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