Wee Rockers Enrollment Form (Jan 2019 start)
Please complete and return this form to enroll in the Wee Rockers program. To pay online, using any credit card or PayPal, please go to studionoir.rocks and scroll down until you see the "PAY NOW" button beneath our Wee Rockers flyer. If you prefer to pay in person, please bring cash, check or credit card to the first day of class.
Feel free to call/text Sammi at 516-476-2473 with any questions. Thank you!
Please select class dates
Tuesdays 2-2:45pm. 6 week session. Jan 22 - Feb 26. $120
Saturdays 10-10:45am. 6 week session. Jan 26 - Mar 2.. $120
Additional Emergency Contact Name and Number
I realize that my child(ren) may be photographed or recorded. Photos and videos may be published on the Studio Noir website or Facebook page, or for informational and/or marketing purposes regarding programs at Studio Noir. I give permission for photos and/or videos to be used.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service