K–4 Beginner Class 
Please see below to sign up for the 2026 Clinic
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Student Name (First and Last) *
Student Phone Number (if applicable)
Parent Name  *
Parent Email *
Parent Phone Number *
Emergency Contact name  *
Emergency contact phone number   *
What Session would you like to participate in *
Payment Method (Cash, Check or Venmo preferred)  *
By typing my name below and entering today’s date, I acknowledge that I have read and understand the waiver listed above and agree to its terms and conditions. I understand that typing my name serves as my electronic signature.  *
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By clicking “I agree,” I acknowledge that I understand I must complete the payment and submit the required waiver before my child’s first day. The waiver must be turned in before my child is eligible to participate. *
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