Junior Cloggers Class Registration Form
There is a limit of 10 students per class. To secure your spot in class please pay the first month's tuition through GOOGLE WALLET at JuniorCloggers@gmail.com OR by mailing a CHECK payable to Junior Cloggers at 2092 NW Aloclek Dr #501, Hillsboro, OR 97124.
Student's First Name: *
Last Name: *
Student's Age: *
Student's Birthdate *
Shoe Size: *
T-shirt Size: *
Specify Youth or Adult. This will be used for our T-shirt order in October.
Are you a new or returning student? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy