Student's name
*
Families with siblings: Please register each child separately. 10% discount will be applied to both sibling(s). Please type "sibling" in optional note column at bottom of form.
First Name
Last Name
Parent's Name
*
First Name
Last Name
Parent's email address
*
Parent's Phone
*
(###)
###
####
Student's Date of Birth
*
MM
DD
YYYY
Current Grade (or grade entering) and School
*
Registering for
*
Please check one or multiple boxes.
Please bill me for
*
Marcia will send billing invoice upon registration or email confirmation.
If choosing both Tues/Fri options in same offering for same child, fee will be doubled and 10% discount will be applied at billing.
Fees listed apply to the 8 sessions Winter season 2024.
Optional Note:
Please note any questions about registration, or if known, if there will be dates your child will miss.