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Flux Kids and Teens Registration 2014
Welcome to Flux School of Human Movement!
We are exciting to be starting a new year with our Kids and Teens Programs!
Please complete the following form to reserve a spot in any of our youth programs. If you have more than one child registering, please complete a form for each.
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* Indicates required question
LAST NAME
*
Parent / Guardian
Your answer
FIRST NAME
*
Parent / Guardian
Your answer
Email
*
Your answer
LAST NAME
*
Child / Teen
Your answer
FIRST NAME
*
Child / Teen
Your answer
Age
*
Your answer
Which program are you registering your child for?
*
Flux Teen Program (12 and up)
Flux Big Dawgs (8 to 11)
Flux Porch Pups (5 to 7)
Flux Monkeys (2 to 4)
Parkour only (7 and up)
All youth programs are based on a monthly membership.
*
Please select your method of payment:
Automatic Monthly Debit (preferred)
Personal Cheque
Cash
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