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Family Registration Information
Your Child's First name
*
Your Child's Last name
*
Child's Birth Date
*
Month
Sibling(s) Name and Birthdate(s)
Parent Email
*
Parent/Guardian Name (first, last)
*
Parent/Guardian Phone
*
Parent/Guardian Name (first, last)
Parent/Guardian Phone
If another care giver will be accompanying your child to class, please share their contact information.
Preferred Payment Method (note: Venmo/Zelle/Cash payments do not require processing fee)
*
Venmo
Zelle
Paypal
Credit Card
Cash
Submit!
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