NEW STUDENT Registration Form
This form is for new students only.
* We will get in contact with you to confirm class day & time and payment.
* For siblings, fill this form out again for the 2nd/3rd/etc siblings.
* For non-beginner students, placement class is required.
Parent Name *
Your answer
How did you hear about us? *
Your answer
Student Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Class signing up for *
Class Frequency (# times per week) *
Address *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Payment Method *
Comments etc.
Your answer
Discount Code
Your answer
Submit
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