2021 Summer Class Signup
All classes are on Zoom! Classes will not resume in person this summer. We have had online classes since long before COVID-19.

Once we receive this form, we will confirm availability then send an invoice or contact you to give alternative times. Payment must be completed to enroll students. We take payments via digital check/ACH transfer through our provider, Bill & Pay.

PLEASE PUT THE BEST PARENT CONTACT EMAIL IN THE NEXT BLANK.

When we have confirmed availability, we will send an invoice.
Email address *
Student Name *
NOT PARENT NAME! First middle last. If there is no middle name, give a home-language name or nickname.
Student Date of Birth *
MM
/
DD
/
YYYY
Grade *
For next school year, 2021 to 2022, not the current grade. The grade goes up when the school year ends.
GATE?
School *
2021-2022
Student Email
Street Address *
Example: 39267 Mission Boulevard
City *
State *
Put country here if not in the USA.
ZIP Code *
Parent 1 Name (First and Last) *
Parent 1 Email *
Parent 1 Cell Number *
Example: 5109121212
Parent 2 Name (First and Last)
Parent 2 Email
Parent 2 Cell Number
Example: 5109121212
Class 1 *
Grade Subject Teacher Day Time - updated on 1/24/21
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