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Registration

Please fill in the required fields to reserve your place in the class.

  • Student Contact Info

  • Student Name
  • DOB
  • Phone
  • Can We Text?
  • Student Address
  • City
  • Student Email
  • High School
  • Parent / Guardian & Emergency Contact Info

    Please provide at least one emergency contact.
  • Parent Name
  • Can We Text?
  • Parent Phone
  • Parent Email
  • Parent Name
  • Can We Text?
  • Parent Phone
  • Parent Email
  • Please verify below that the correct class is selected
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