Home school PE/NUTRITION Registration
CLASSES WILL BEGIN MID JANUARY
EVERY THURSDAY AT 9823 MARBACH RD.



COACH MERCER OR JENNIFER WILL BE CONTACTING EACH PARENT WITH MORE INFORMATION OVER THE NEXT FEW WEEKS.
Email address *
Select location for PE class
PARENT NAME *
CONTACT NUMBER *
STUDENT NAME *
DOB
STUDENT NAME
DOB
STUDENT NAME
DOB
STUDENT NAME
DOB
PE/NUTRITION SEMESTER PACKAGE *REGISTRATION PRICES *
IS THERE ANYTHING IN PARTICULAR WE SHOULD KNOW ABOUT YOUR CHILD(REN)?
Consent Form *
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Medical Release and Authorization *
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Photo and Video Authorization *
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Please let us know if you have any additional questions or concerns
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