Please complete this form to move forward in the registration and/or wait list process. YOUR CARD WILL NOT BE CHARGED until you have been contacted and confirmed with a phone conversation. If you can not find a class that fits your family’s schedule or if you need assistance with the registration process, a Team Member can be reached at (772) 460-7946 or

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Referral Information
Family Information
Where do you live?
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
Enroll in Classes
Select Class
Required Policies
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Questions or Concerns
Payment Information
Credit Card