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Class Registration
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Registration Form for:
by
Mail Payment To:
,
Number of Classes:
Meeting Day:
Class Date:
Recommended Age:
Location of Class:
Child Information
Child's Name:
*
Gender:
*
Male
Female
Age:
*
Emergency Contact Phone #:
*
Youth T-Shirt Size:
*
Youth Small
Youth Medium
Youth Large
Youth X-Large
Any food allergies, personality, or development information that will allow us to customize the class experience for your child? (please describe below)
Parent Information
Parent Name:
*
Email:
*
Daytime Phone #:
*
Evening Phone #:
*
Payment Information (select one)
I will be mailing a check along with the registration form
I would like an invoice emailed to me
I would like to pay with charter funds
Please retype the code below:
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