Fall 2019 Registration Form
Registration is a commitment! Please read the Terms and Conditions of Enrollment before registering your child.
Child's First Name *
Child's Last Name *
Child's Grade *
Child's Birthdate *
MM
/
DD
/
YYYY
Are you a returning La Zooz student? *
Required
What class would you like to register for? *
Parent's First Name *
Parent's Last Name *
Parents' Email Address *
Parents' Cell Phone Number *
I have read and understood the "Terms and Conditions" of enrolling my daughter in a La Zooz program. *
Submit
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