Student Registration
Registration is not complete until you have received an email confirmation that a spot is available for your child.
Child Name *
(Last name, First name)
Your answer
Age *
Your answer
School *
Your answer
Grade *
Teacher
Your answer
Parent/Guardian Name *
(Last name, First name)
Your answer
Relationship to Child *
Your answer
Address *
Your answer
Telephone Number *
Your answer
Email *
Your answer
Preferred method of contact *
For updates regarding changes in the program due to weather, etc.
Alternate Contact Person *
Your answer
Relationship to Child *
Your answer
Telephone Number *
Your answer
Submit
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